Renee Cutiongco Folsom, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

10030 Issued in MA

Practice address

86 Baker Avenue Ext Ste 301
Concord, MA 01742-2132

Phone

(978) 341-4992

Fax

(888) 631-1092

NPI assigned

Feb 9, 2007

Last updated

Feb 24, 2020By the provider in NPPES

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

Other names 1

• Maria Eleanor Renee Cruz Cutiongco Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Concord Comprehensive Neuropsychological Services

  • Clinical Neuropsychologist
  • Concord, MA
  • NPI 1023769296
  NPD

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1770624223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BAKER AVENUE EXT STE 301",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422132",
            "telephone_number": "978-341-4992",
            "fax_number": "888-631-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BAKER AVENUE EXT STE 301",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422132",
            "telephone_number": "978-341-4992",
            "fax_number": "888-631-1092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Greenspring Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212111353",
            "country_code": "US",
            "telephone_number": "443-923-7541",
            "fax_number": "443-923-7560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "RENEE",
        "middle_name": "CUTIONGCO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "10030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA ELEANOR RENEE",
            "last_name": "CUTIONGCO",
            "middle_name": "CRUZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mae J Fitzgerald, RN
• Carolyn Boyd Fleiss, LICSW
• Florera Health LLC
• Elizabeth Anne Foley, RPH, J.D.
• Richard D Foley, DDS
• Crystal Fontas, DPT
• Jesse Foote, M.D.
• Katharine Brooks Ford, LICSW
• Kristin H Forsberg, MS, CCC-SLP
• Kimberly Forsythe, LICSW

• Clinical Neuropsychologist in Concord, MA
• Providers in Concord, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.