Active NPI
Kathryn Geremia, M.A. PSY.D.
- Clinical Psychologist
- Westborough, MA
National Provider Identifier
1629387162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10603
- Practice address
- 1900 W Park Dr Ste 280
Westborough, MA 01581-3919 - Phone
- (508) 713-1640
- NPI assigned
- Oct 1, 2010
- 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 | 10603 | MA | Primary |
Addresses
Primary practice location
1900 W Park Dr Ste 280
Westborough, MA 01581-3919
Mailing address
1900 W Park Dr Ste 280
Westborough, MA 01581-3919
Phone (508) 713-1640
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 |
|---|---|---|---|
| 10603 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1629387162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 W PARK DR STE 280",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015813919",
"telephone_number": "508-713-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 W PARK DR STE 280",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015813919",
"telephone_number": "508-713-1640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEREMIA",
"first_name": "KATHRYN",
"credential": "M.A. PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-01",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.