Sherry Ceridan, PSYA.D. MA RN
Individual provider Active NPI Psychoanalyst · Boston, MA
NPI 1508934654 · NPPES record last updated Sep 3, 2013
Key facts
- NPI
- 1508934654
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychoanalyst 102L00000X
- Practice address
- 774 Albany St
Boston, MA 02118-2520 - Phone
- (617) 534-4212
- Fax
- (617) 534-4221
- NPI assigned
- Nov 30, 2006
- 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
- Credentials
- Master of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146216 | MA | MD | Addiction (Substance Use Disorder) Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 146216 | MA | |
| Psychoanalyst | 102L00000X | Yes |
Addresses
Primary practice location
774 Albany St
Boston, MA 02118-2520
Mailing address
1010 Massachusetts Avenue
Boston, MA 02118
Phone (617) 534-4212
Other providers in Boston, MA
- Tolga Atilla Ceranoglu
- Joseph Anthony Cerasuolo
- Ivo Hector Cerda
- Sandra R. Cerda
- Christian Daniel Cerecedo Lopez
- Caroline Anderson Cerio
- Alexander Michael Cerjanic
- Manuela Cernadas
- Paula Dacosta Cerqueira
- Mary E Cerra
All providers in Boston, MA · Psychoanalyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2013. 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.