Active NPI
Alisha R. Pollastri, PH.D.
- Psychologist
- Boston, MA
National Provider Identifier
1669616769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9874
- Practice address
- 151 Merrimac St
5TH Floor
Boston, MA 02114-4714 - Phone
- (617) 643-5675
- Fax
- (617) 643-2502
- NPI assigned
- Apr 21, 2009
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 9874 | MA | Primary |
Addresses
Primary practice location
151 Merrimac St
5TH Floor
Boston, MA 02114-4714
Mailing address
151 Merrimac St
5TH Floor
Boston, MA 02114-4714
Phone (617) 643-5675
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1669616769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 MERRIMAC ST",
"address_2": "5TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021144714",
"telephone_number": "617-643-5675",
"fax_number": "617-643-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 MERRIMAC ST",
"address_2": "5TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021144714",
"telephone_number": "617-643-5675",
"fax_number": "617-643-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLASTRI",
"first_name": "ALISHA",
"middle_name": "R.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "9874",
"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 Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.