Kathleen Ricci
Individual provider Active NPI Contractor · Brookline, MA
NPI 1346690328 · NPPES record last updated Jun 21, 2016
Key facts
- NPI
- 1346690328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 11981 (MA)
- Practice address
- 118 Coolidge St
Brookline, MA 02446-5808 - Phone
- (978) 482-2498
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11981 | MA | MD | Clinical Neuropsychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 11981 | MA | Yes |
Addresses
Primary practice location
118 Coolidge St
Brookline, MA 02446-5808
Mailing address
118 Coolidge St
Brookline, MA 02446-5808
Other providers in Brookline, MA
- Christian Reyes
- Gabriel Reyes
- Rhona Chang Expressive Arts LLC
- Yvonne Rhone
- Donna Jean Ricci
- Kenneth Rice
- Richard a. Bartlett, MD, PC
- Richard a. Bartlett, MD, PC
- Dorothy T. Richardson
- Kimberley Richardson
All providers in Brookline, MA · Contractor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.