Center for Cognitive Wellness PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

8932 Issued in MA

Legal business name

CENTER FOR COGNITIVE WELLNESS PC

Practice address

15 New England Executive Park
Burlington, MA 01803-5202

Phone

(617) 913-9030

NPI assigned

Oct 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Malissa L Kraft, PSYD

Title

President

Phone

(617) 913-9030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1174823074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 STACEY CIR",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871648",
            "telephone_number": "617-913-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NEW ENGLAND EXECUTIVE PARK",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035202",
            "telephone_number": "617-913-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR COGNITIVE WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "MALISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-913-9030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "8932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Sean Cavanagh, MD
• Kayleigh Cavender
• Michelle Karen Celeste
• Akeem Amire Celestine
• Alban Celiku, NP
• Shobha Annette Chacko, M.D.
• Karenjeet Chahal, MD
• Eva Chahine, PHARMD
• Pierre Chahraban, MD
• Zenia Chakladar

• Clinical Neuropsychologist in Burlington, MA
• Providers in Burlington, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.