Cynthia S. Tavilla, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7549 Issued in MA

Practice address

9 Meriam St
. Suite 25
Lexington, MA 02420-5300

Phone

(781) 863-5570

NPI assigned

Oct 21, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Cynthia S. Keefe 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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1104816164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MERIAM ST",
            "address_2": ". SUITE 25",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024205300",
            "telephone_number": "781-863-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MERIAM ST",
            "address_2": ". SUITE 25",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024205300",
            "telephone_number": "781-863-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVILLA",
        "first_name": "CYNTHIA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "KEEFE",
            "middle_name": "S.",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Macy Tarrant
• Antoinette Hansen Tasker, PT
• Nadine Tassabehji, RDN
• Maria Tata, MS
• Joyce Tattelman, DC
• Joshua R Taylor
• Ted Lee DMD
• Judith Teicholz, ED.D.
• Bonnie Jean Teitleman-Levin, LICSW
• Kristin Anita Terrell, PT

• Clinical Psychologist in Lexington, MA
• Providers in Lexington, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.