Courtney Gail Vareschi, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8288 Issued in MA

Practice address

3 Dundee Park Dr
Suite 203
Andover, MA 01810-3751

Phone

(978) 475-3590

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• General Psychological Associates

  • Counseling Psychologist
  • Andover, MA
  • NPI 1700810025
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1336207463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DUNDEE PARK DR",
            "address_2": "SUITE 203",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103751",
            "telephone_number": "978-475-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DUNDEE PARK DR",
            "address_2": "SUITE 203",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103751",
            "telephone_number": "978-475-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARESCHI",
        "first_name": "COURTNEY",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300911",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uberdoc, Inc.
• Tien T. Ung, LICSW
• Ariel J Vaillancourt
• April Dawn Valete
• Vantage at Andover LLC
• Kiaralis Vasquez
• Jennifer Velasco Badiola, O.D.
• Veronica Faller M.D.
• James A Vieira, PHARMD
• Nancy C Vieira, RPH

• Clinical Psychologist in Andover, MA
• Providers in Andover, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.