Carmelina Heydrich, M.S. CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC210 Issued in MA

Practice address

450 Brookline Ave
Dana Building 1045
Boston, MA 02215-5418

Phone

(617) 632-4889

Fax

(617) 582-8305

NPI assigned

Nov 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1750711230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 BROOKLINE AVE",
            "address_2": "DANA BUILDING 1045",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155418",
            "telephone_number": "617-632-4889",
            "fax_number": "617-582-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BROOKLINE AVE",
            "address_2": "DANA BUILDING 1045",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155418",
            "telephone_number": "617-632-4889",
            "fax_number": "617-582-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYDRICH",
        "first_name": "CARMELINA",
        "credential": "M.S. CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MA",
            "license": "GC210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Rose Hewitt
• Larissa L Hewitt, LICSW
• Matthew Hey
• Michael Heyang
• Bobak Heydari, MD
• Holley Heyert, D.C.
• Annie Heyman
• Sally J Heymann, M.D.
• Thomas F. Heyne, MD
• Natalie Heywood, LMHC

• Genetic Counselor (M.S.) in Boston, MA
• Providers in Boston, MA by specialty
• Genetic Counselor (M.S.) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.