Individual provider Active NPI

Cristina Philatre

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1326309683
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119453 Issued in MA
Practice address
29 Commonwealth Ave Ste 801
Boston, MA 02116-2396
Phone
(857) 891-4238
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 119453 MA Primary

Addresses

Primary practice location

29 Commonwealth Ave Ste 801
Boston, MA 02116-2396

Mailing address

29 Commonwealth Ave Ste 801
Boston, MA 02116-2396
Phone (857) 891-4238

Other practice location 1

639 Granite St
Suite 303
Braintree, MA 02184-5366
Phone (781) 817-5844

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

State licenses

LicenseStateTypeSpecialty
119453MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326309683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 COMMONWEALTH AVE STE 801",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162396",
            "telephone_number": "857-891-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 COMMONWEALTH AVE STE 801",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162396",
            "telephone_number": "857-891-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 Granite St",
            "address_2": "SUITE 303",
            "address_purpose": "LOCATION",
            "city": "Braintree",
            "state": "MA",
            "postal_code": "021845366",
            "country_code": "US",
            "telephone_number": "781-817-5844",
            "fax_number": "781-817-5724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILATRE",
        "first_name": "CRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119453",
            "primary": true
        }
    ],
    "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 Jul 21, 2022; 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.