Active NPI
Christine E Cooper-Vince, MA
- Psychologist
- Boston, MA
National Provider Identifier
1689925794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 10795
- Practice address
- Massachusetts General Hospital
55 Fruit St.
Boston, MA 02114 - Phone
- (617) 726-3647
- NPI assigned
- Sep 28, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MA | ||
| Psychologist | 103T00000X | 10795 | MA | Primary |
Addresses
Primary practice location
Massachusetts General Hospital
55 Fruit St.
Boston, MA 02114
Mailing address
Massachusetts General Hospital
55 Fruit St.
Boston, MA 02114
Phone (617) 726-3647
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
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10795 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1689925794",
"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": "617-726-3647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MASSACHUSETTS GENERAL HOSPITAL",
"address_2": "55 FRUIT ST.",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "617-726-3647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER-VINCE",
"first_name": "CHRISTINE",
"middle_name": "E",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "10795",
"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 Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.