Active NPI
Alyssa S Ailion, PHD
- Clinical Neuropsychologist
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 300 Longwood Ave # Fegan9
Boston, MA 02115-5724 - Phone
- (617) 355-7970
- NPI assigned
- May 29, 2020
- Last updated
- May 29, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 06039 | MD | |
| Psychologist | 103T00000X | PSY1001555 | DC | |
| Psychologist | 103T00000X | MA | ||
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
300 Longwood Ave # Fegan9
Boston, MA 02115-5724
Mailing address
5500 39TH St NW
Washington, DC 20015-2904
Phone (678) 851-8539
Other practice location 1
15245 Shady Grove Rd Ste 350
Rockville, MD 20850-6237
Phone (301) 765-5452
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aailion@childrensnational.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11356 | MA | MD | Mental Health Counselor |
| PSY1001555 | DC | MD | Psychologist |
| 06039 | MD | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Neurology Foundation Inc | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
300 Longwood Ave
#9
Boston, MA 02115
Phone (617) 355-2413
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Boston, MA
- NPI 1063432417
Clinical Neuropsychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1750905428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 39TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152904",
"telephone_number": "678-851-8539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE # FEGAN9",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-7970"
}
],
"practiceLocations": [
{
"address_1": "15245 Shady Grove Rd Ste 350",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208506237",
"country_code": "US",
"telephone_number": "301-765-5452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AILION",
"first_name": "ALYSSA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-29",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "06039",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY1001555",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aailion@childrensnational.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "15245 Shady Grove Rd Ste 350",
"city": "Rockville",
"state": "MD",
"country_code": "US",
"postal_code": "208506237",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.