Active NPI
Marissa Alert, PHD
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1760905277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY5000522
- Practice address
- 111 Ocean St
Boston, MA 02124-3626 - Phone
- (410) 550-7988
- NPI assigned
- Jul 18, 2017
- Last updated
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY5000522 | MA | Primary |
Addresses
Primary practice location
111 Ocean St
Boston, MA 02124-3626
Mailing address
1 Washington Mall # 1261
Boston, MA 02108-2616
Phone (617) 249-3199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY5000522 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mda Wellness | Clinical | Current | Accepting new patients |
Locations
1 Washington Mall
#1261
Boston, MA 02108
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.
-
- Clinical Psychologist
- Boston, MA
- NPI 1346097235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1760905277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WASHINGTON MALL # 1261",
"city": "BOSTON",
"state": "MA",
"postal_code": "021082616",
"telephone_number": "617-249-3199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 OCEAN ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021243626",
"telephone_number": "410-550-7988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALERT",
"first_name": "MARISSA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "PSY5000522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.