Collaborative Child Neuropsychology

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

COLLABORATIVE CHILD NEUROPSYCHOLOGY

Practice address

4 A St
Burlington, MA 01803-3412

Phone

(781) 708-3374

NPI assigned

Jul 20, 2022

Organization subpart

No

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

Authorized official

Name

Eva Jansiewicz, PH.D.NPI 1093045015

Title

Owner

Phone

(781) 708-3374

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eva Jansiewicz, PH.D.

  • Clinical Neuropsychologist
  • West Roxbury, MA
  • NPI 1093045015
  NPD Authorized official

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1790410967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EMERSON PL",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024922828",
            "telephone_number": "781-708-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 A ST",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033412",
            "telephone_number": "781-708-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE CHILD NEUROPSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "JANSIEWICZ",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-708-3374",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Cohen, PT
• Michael Colancecco, DO
• Alexandra Nichole Cole
• Christina Coleman
• Mira Bella Coleman, RDN
• Susan Collina, RPH
• Elizabeth J Collins, MD
• Emily Rose Collins, RD, LDN
• Jennifer M Collins, MD
• Meaghan Collins, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.