Active NPI
Centi Psychological Services PLLC
- Clinical Neuropsychologist
- Melrose, MA
National Provider Identifier
1740807528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- CENTI PSYCHOLOGICAL SERVICES PLLC
- Practice address
- 35 Renwick Rd
Melrose, MA 02176-1218 - Phone
- (617) 863-0090
- Fax
- (781) 876-0002
- NPI assigned
- Jun 29, 2020
- Last updated
- Jun 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justin Centi, PHD
- Title
- Neuropsychologist/Owner
- Phone
- (617) 863-0090
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | NU | Primary | |
| Cognitive & Behavioral Psychologist | 103TB0200X | NU | ||
| Clinical Psychologist | 103TC0700X | NU |
Addresses
Primary practice location
35 Renwick Rd
Melrose, MA 02176-1218
Mailing address
35 Renwick Rd
Melrose, MA 02176-1218
Phone (617) 863-0090
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Neuropsychologist
- Boston, MA
- NPI 1619236718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593388800000",
"number": "1740807528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 RENWICK RD",
"city": "MELROSE",
"state": "MA",
"postal_code": "021761218",
"telephone_number": "617-863-0090",
"fax_number": "781-876-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 RENWICK RD",
"city": "MELROSE",
"state": "MA",
"postal_code": "021761218",
"telephone_number": "617-863-0090",
"fax_number": "781-876-0002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTI PSYCHOLOGICAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-29",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A",
"authorized_official_last_name": "CENTI",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "NEUROPSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "617-863-0090",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melrose, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.