Active NPI
Celia R. Underdah, RN
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Framingham, MA
National Provider Identifier
1114254018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- RN2262788
- Practice address
- 88 Lincoln St
Framingham, MA 01702-6354 - Phone
- (508) 469-3246
- NPI assigned
- Nov 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | RN2262788 | MA | Primary |
Addresses
Primary practice location
88 Lincoln St
Framingham, MA 01702-6354
Mailing address
88 Lincoln St
Framingham, MA 01702-6354
Phone (508) 469-3246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110022061E | Other | MA | GROUP MEDICAID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2262788 | MA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1114254018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 LINCOLN ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017026354",
"telephone_number": "508-469-3246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 LINCOLN ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017026354",
"telephone_number": "508-469-3246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERDAH",
"first_name": "CELIA",
"middle_name": "R.",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-13",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "MA",
"license": "RN2262788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID NUMBER",
"identifier": "110022061E",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.