Active NPI
Justin Centi, MA
- Clinical Neuropsychologist
- Boston, MA
National Provider Identifier
1619236718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 10184
- Practice address
- 185 Devonshire St Ste 901B
Boston, MA 02110-1407 - Phone
- (617) 830-1780
- NPI assigned
- May 9, 2012
- Sex
- Male
- 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 Neuropsychologist | 103G00000X | 10184 | MA | Primary |
Addresses
Primary practice location
185 Devonshire St Ste 901B
Boston, MA 02110-1407
Mailing address
Massachusetts General Hospital
55 Fruit St.
Boston, MA 02114
Phone (617) 724-5600
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10184 | MA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centi Psychological Services PLLC | Clinical Neuropsychologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Neuropsychologist
- Melrose, MA
- NPI 1740807528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619236718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MASSACHUSETTS GENERAL HOSPITAL",
"address_2": "55 FRUIT ST.",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-724-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 DEVONSHIRE ST STE 901B",
"city": "BOSTON",
"state": "MA",
"postal_code": "021101407",
"telephone_number": "617-830-1780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTI",
"first_name": "JUSTIN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "10184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Tolga Atilla Ceranoglu, MD
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.