Organization Active NPI

Centi Psychological Services PLLC

  • Clinical Neuropsychologist
  • Melrose, MA
National Provider Identifier
1740807528
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Justin Centi, PHDNPI 1619236718
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.