Organization Active NPI

Patricia B. Criste PHD, LLC

  • Mental Health Counselor
  • Tewksbury, MA
National Provider Identifier
1528255072
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1878 Issued in MA
Legal business name
PATRICIA B. CRISTE PHD, LLC
Practice address
1565 Main St
Building 2 Suite 200
Tewksbury, MA 01876-2085
Phone
(987) 851-5199
Fax
(978) 851-5561
NPI assigned
Sep 28, 2007
Last updated
Sep 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Dr. Patricia Beech Criste, PHD
Title
Psychotherapist
Phone
(978) 851-5199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1878 MA Primary

Addresses

Primary practice location

1565 Main St
Building 2 Suite 200
Tewksbury, MA 01876-2085

Mailing address

1565 Main St
Building 2 Suite 200
Tewksbury, MA 01876-2085
Phone (987) 851-5199

National Provider Directory

National Provider Directory

Locations

1565 Main St
Ste 200
Tewksbury, MA 01876
Phone (978) 851-4468

Practitioners & affiliated clinicians

Practitioners 2

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": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1528255072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 MAIN ST",
            "address_2": "BUILDING 2 SUITE 200",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762085",
            "telephone_number": "987-851-5199",
            "fax_number": "978-851-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 MAIN ST",
            "address_2": "BUILDING 2 SUITE 200",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762085",
            "telephone_number": "987-851-5199",
            "fax_number": "978-851-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA B. CRISTE PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "CRISTE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "BEECH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "978-851-5199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.