Active NPI
Kelifern Pomeranz, PSY.D.
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1619161312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8983
- Practice address
- 251 Causeway St
3Rd Floor
Boston, MA 02114-2148 - Phone
- (617) 248-1200
- NPI assigned
- Sep 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 8983 | MA | Primary |
Addresses
Primary practice location
251 Causeway St
3Rd Floor
Boston, MA 02114-2148
Mailing address
251 Causeway St
3Rd Floor
Boston, MA 02114-2148
Phone (617) 248-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1619161312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 CAUSEWAY ST",
"address_2": "3RD FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142148",
"telephone_number": "617-248-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 CAUSEWAY ST",
"address_2": "3RD FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142148",
"telephone_number": "617-248-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMERANZ",
"first_name": "KELIFERN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8983",
"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 Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.