Organization Active NPI

Campuscare Counseling, PLLC

  • Psychologist
  • Winchester, MA
National Provider Identifier
1336897966
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CAMPUSCARE COUNSELING, PLLC
Practice address
65 George Rd
Winchester, MA 01890-1121
Phone
(781) 205-9811
NPI assigned
Mar 14, 2022
Last updated
Mar 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Selda Celen-Demirtas, PHDNPI 1205124948
Title
Owner
Phone
(857) 998-7188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

65 George Rd
Winchester, MA 01890-1121

Mailing address

48 Waterfield Rd No 913
Winchester, MA 01890-7042
Phone (781) 205-9811

National Provider Directory

National Provider Directory

Locations

48 Waterfield Rd
Unit 913
Winchester, MA 01890

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1336897966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 WATERFIELD RD NO 913",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018907042",
            "telephone_number": "781-205-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 GEORGE RD",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901121",
            "telephone_number": "781-205-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPUSCARE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "CELEN-DEMIRTAS",
        "authorized_official_first_name": "SELDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-998-7188",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.