Michelle De Sedas, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11125 Issued in MA

Practice address

112 Water St Ste 203
Boston, MA 02109-4225

Phone

(617) 315-8856

NPI assigned

Jan 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MDS Counseling Services, LLC

  • Adult Mental Health Clinic/Center
  • Cambridge, MA
  • NPI 1316565005
  NPD Authorized official

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1568828580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 ALEWIFE BROOK PKWY # 1019",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381121",
            "telephone_number": "617-302-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WATER ST STE 203",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094225",
            "telephone_number": "617-315-8856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Alewife Brook Pkwy # 1019",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "02138",
            "country_code": "US",
            "telephone_number": "617-302-8092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE SEDAS",
        "first_name": "MICHELLE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-06",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlie A De Pina, RN
• Neusa De Pina
• Jose Luis De Ramon III
• Roxane Charlotte Jacky De Rechniewski
• Amory De Roulet
• Wilfred De Shield- Lynch
• Disentuwahandi P De Silva, MBBS
• Edson De Sousa
• Luisa Maria De Souza, M.D
• Annemaria De Tina, M.D, FRCPC

• Clinical Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.