Individual provider Active NPI

Christina Vanyo, PSY.D.

  • Clinical Psychologist
  • Brookline, MA
National Provider Identifier
1306492970
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11422 Issued in MA
Practice address
1051 Beacon St Ste 204
Brookline, MA 02446-5622
Phone
(617) 865-8585
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 11422 MA Primary

Addresses

Primary practice location

1051 Beacon St Ste 204
Brookline, MA 02446-5622

Mailing address

1051 Beacon St Ste 204
Brookline, MA 02446-5622
Phone (617) 865-8585

Other names 1

  • Christina Zawalski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 24, 2025 through Apr 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11422MAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1306492970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 BEACON ST STE 204",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465622",
            "telephone_number": "617-865-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 BEACON ST STE 204",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465622",
            "telephone_number": "617-865-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANYO",
        "first_name": "CHRISTINA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "ZAWALSKI",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.