Active NPI
Maria Luisa Victoria, PH.D.
- Psychologist
- Brookline, MA
National Provider Identifier
1275601999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7218
- Practice address
- 370 Washington St
Brookline, MA 02445-6874 - Phone
- (617) 277-5878
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7218 | MA | Primary |
Addresses
Primary practice location
370 Washington St
Brookline, MA 02445-6874
Mailing address
76 Columbia St # 2
Brookline, MA 02446-2432
Phone (617) 277-5878
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7218 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275601999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 COLUMBIA ST # 2",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024462432",
"telephone_number": "617-277-5878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 WASHINGTON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024456874",
"telephone_number": "617-277-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTORIA",
"first_name": "MARIA LUISA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.