Active NPI
Christine Kathleen Nevins, PH.D.
- Clinical Psychologist
- Natick, MA
National Provider Identifier
1780782995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4521
- Practice address
- 317 N Main St
Natick, MA 01760-1115 - Phone
- (508) 650-1802
- Fax
- (508) 650-1802
- NPI assigned
- Sep 20, 2006
- 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 | 4521 | MA | Primary |
Addresses
Primary practice location
317 N Main St
Natick, MA 01760-1115
Mailing address
37 Stonebridge Rd
Wayland, MA 01778-3024
Phone (508) 653-6433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4521 | Other | MA | PSYCHOLOGIST LICENSE # |
| 03000509 | Other | MA | HEALTH CARE PROVIDER # |
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 |
|---|---|---|---|
| 4521 | MA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330905600000",
"number": "1780782995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 STONEBRIDGE RD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017783024",
"telephone_number": "508-653-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 N MAIN ST",
"city": "NATICK",
"state": "MA",
"postal_code": "017601115",
"telephone_number": "508-650-1802",
"fax_number": "508-650-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVINS",
"first_name": "CHRISTINE",
"middle_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2012-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "4521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST LICENSE #",
"identifier": "4521",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH CARE PROVIDER #",
"identifier": "03000509",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Natick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.