Active NPI
Carissa Lynne Surace
- Marriage & Family Therapist
- Dorchester, MA
National Provider Identifier
1699119826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 50 Redfield St
Suite 300
Dorchester, MA 02122-3630 - Phone
- (617) 288-7450
- NPI assigned
- Apr 18, 2013
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
50 Redfield St
Suite 300
Dorchester, MA 02122-3630
Mailing address
413 Massachusetts Ave
Apt 1
Boston, MA 02118-3525
Phone (541) 953-8155
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1699119826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 MASSACHUSETTS AVE",
"address_2": "APT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183525",
"telephone_number": "541-953-8155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 REDFIELD ST",
"address_2": "SUITE 300",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021223630",
"telephone_number": "617-288-7450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURACE",
"first_name": "CARISSA",
"middle_name": "LYNNE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.