Active NPI
Rose Anne Negele, EDD
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1346236684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1843
- Practice address
- 13 Bowdoin St
Ste 1a
Boston, MA 02114-4246 - Phone
- (617) 722-0888
- Fax
- (617) 738-8412
- NPI assigned
- Sep 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1843 | MA | Primary |
Addresses
Primary practice location
13 Bowdoin St
Ste 1a
Boston, MA 02114-4246
Mailing address
13 Bowdoin St
Ste 1a
Boston, MA 02114-4246
Phone (617) 722-0888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2017 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1843 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1346236684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 BOWDOIN ST",
"address_2": "STE 1A",
"city": "BOSTON",
"state": "MA",
"postal_code": "021144246",
"telephone_number": "617-722-0888",
"fax_number": "617-738-8412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 BOWDOIN ST",
"address_2": "STE 1A",
"city": "BOSTON",
"state": "MA",
"postal_code": "021144246",
"telephone_number": "617-722-0888",
"fax_number": "617-738-8412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGELE",
"first_name": "ROSE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "1843",
"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 Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.