Rebecca Marcelina Gimeno, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11467 Issued in MA

Practice address

160 Commonwealth Ave Ste U3
Boston, MA 02116-2749

Phone

(617) 353-3047

NPI assigned

Jun 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1780177105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CUMBERLAND ST APT 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155308",
            "telephone_number": "724-462-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 COMMONWEALTH AVE STE U3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162749",
            "telephone_number": "617-353-3047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Marlborough St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021162020",
            "country_code": "US",
            "telephone_number": "724-462-4361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIMENO",
        "first_name": "REBECCA",
        "middle_name": "MARCELINA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2021-08-02",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Richard Gilson
• Diane L. Gilworth, NP
• Barbara Camille Gimbel, LCSW
• Michael A Gimbrone, M.D.
• Alexander Gimeno
• Barjor Gimi
• Therese Marie Gimler, NP
• Callie Marie Ginapp, MD
• Paul Ginart, MD, PHD
• Curtis Ginder, MD

• Clinical Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.