Individual provider Active NPI

Kristen Aberle, PSYD

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1619308772
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9778 Issued in MA
Practice address
1330 Boylston St
Unit 410
Boston, MA 02215-4229
Phone
(312) 519-7463
NPI assigned
Nov 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 9778 MA Primary
Clinical Psychologist 103TC0700X 071008232 IL

Addresses

Primary practice location

1330 Boylston St
Unit 410
Boston, MA 02215-4229

Mailing address

1330 Boylston St
Unit 410
Boston, MA 02215-4229

Other names 1

  • Kristen Yerdonek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821004299 MA Practitioner - Clinical Psychologist 0042758039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Human Relations Service IncGroup PAC ID 7517909526, 8 clinicians

Practice addresses (Care Compare)

11 Chapel PL
Wellesley, MA 02481-3130
Phone (781) 235-4950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071008232ILMDClinical Psychologist
9778MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Human Relations Service CurrentSince Jun 15, 2024 Accepting new patients

Locations

11 Chapel Pl
Wellesley Hls, MA 02481
Phone (781) 235-4950

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.

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1619308772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BOYLSTON ST",
            "address_2": "UNIT 410",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BOYLSTON ST",
            "address_2": "UNIT 410",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022154229",
            "telephone_number": "312-519-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERLE",
        "first_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9778",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "YERDONEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.