Krizia Amy Vinck, PSY.D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY11174 Issued in MA

Practice address

559 Foundry St
South Easton, MA 02375-1357

Phone

(617) 895-8279

NPI assigned

May 20, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Krizia Amy Crespo Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Boston Neuropsychological Services LLCGroup PAC ID 2668538794, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boston Neuropsychological Services, LLC

  • Clinical Neuropsychologist
  • Needham, MA
  • NPI 1407048432
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1093338451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 FOUNDRY ST",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751357",
            "telephone_number": "617-895-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 FOUNDRY ST",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751357",
            "telephone_number": "617-895-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCK",
        "first_name": "KRIZIA",
        "middle_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY10553",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "PY11174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIZIA",
            "last_name": "CRESPO",
            "middle_name": "AMY",
            "prefix": "DR.",
            "credential": "PSY.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter Gerard Veale, D.M.D.
• Patricia Margaret Venzen
• Victory Distributors LLC
• Victory Distributors, LLC
• Viewpoint Neuropsychology, LLC
• W.L. Collins Corp.
• Keri-Ann Wagner, M.ED., LMHC
• Hala E Williams
• Willow Tree Counseling LLC
• Brittany Wilson, M.S. ED.CCC-SLP

• Clinical Neuropsychologist in South Easton, MA
• Providers in South Easton, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.