Individual provider Active NPI

Geraldine Chimera

  • Health Service Psychologist
  • Framingham, MA
National Provider Identifier
1851786982
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
220571 Issued in MA
Practice address
300 Howard St
Framingham, MA 01702-8313
Phone
(508) 879-2250
Fax
(508) 879-2581
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 220571 MA Primary

Addresses

Primary practice location

300 Howard St
Framingham, MA 01702-8313

Mailing address

300 Howard St
Framingham, MA 01702-8313
Phone (508) 879-2250

Other identifiers 1

IdentifierTypeStateIssuer
110027995CMedicaidMA

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

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1851786982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOWARD ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028313",
            "telephone_number": "508-879-2250",
            "fax_number": "508-879-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOWARD ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028313",
            "telephone_number": "508-879-2250",
            "fax_number": "508-879-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMERA",
        "first_name": "GERALDINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "220571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110027995C",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.