Evan Auguste
Individual provider Active NPI Contractor · Boston, MA
NPI 1750163242 · NPPES record last updated Oct 18, 2023
Key facts
- NPI
- 1750163242
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 100 Morrissey Blvd
McCormack Hall, Department of Psychology
Boston, MA 02125 - Phone
- (516) 423-6338
- NPI assigned
- Oct 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
100 Morrissey Blvd
McCormack Hall, Department of Psychology
Boston, MA 02125
Mailing address
100 Morrissey Blvd
McCormack Hall, Department of Psychology
Boston, MA 02125
Phone (516) 423-6338
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.