Active NPI
Christine L. Civiletto, PHD
- Counseling Psychologist
- Boston, MA
National Provider Identifier
1740779495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 8884
- Practice address
- 135 Forsyth Building
360 Huntington Avenue
Boston, MA 02115 - Phone
- (617) 373-4139
- NPI assigned
- May 8, 2018
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 8884 | MA | Primary |
Addresses
Primary practice location
135 Forsyth Building
360 Huntington Avenue
Boston, MA 02115
Mailing address
135 Forsyth Building
360 Huntington Avenue
Boston, MA 02115
Phone (617) 373-4139
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8884 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525737600000",
"number": "1740779495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 FORSYTH BUILDING",
"address_2": "360 HUNTINGTON AVENUE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-373-4139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 FORSYTH BUILDING",
"address_2": "360 HUNTINGTON AVENUE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-373-4139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIVILETTO",
"first_name": "CHRISTINE",
"middle_name": "L.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-08",
"last_updated": "2018-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "8884",
"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 May 8, 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.