Active NPI
Kelly Ann Casey, PH.D
- Forensic Psychologist
- Boston, MA
National Provider Identifier
1326240151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 9012
- Practice address
- Children and the Law Program
388 Commonwealth Ave., Lower Level
Boston, MA 02215 - Phone
- (617) 585-7440
- NPI assigned
- Jun 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 9012 | MA | Primary |
| Clinical Psychologist | 103TC0700X | 9012 | MA |
Addresses
Primary practice location
Children and the Law Program
388 Commonwealth Ave., Lower Level
Boston, MA 02215
Mailing address
Children and the Law Program
388 Commonwealth Ave., Lower Level
Boston, MA 02215
Phone (617) 585-7440
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 |
|---|---|---|---|
| 9012 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1326240151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CHILDREN AND THE LAW PROGRAM",
"address_2": "388 COMMONWEALTH AVE., LOWER LEVEL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-585-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILDREN AND THE LAW PROGRAM",
"address_2": "388 COMMONWEALTH AVE., LOWER LEVEL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-585-7440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "KELLY",
"middle_name": "ANN",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "9012",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9012",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.