Active NPI
Vanessa Prosper, PH.D
- Counseling Psychologist
- Boston, MA
National Provider Identifier
1861666356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 8814
- Practice address
- 1525 Blue Hill Ave
Boston, MA 02126-1702 - Phone
- (617) 296-1700
- Fax
- (617) 296-2979
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 8814 | MA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 8814 | MA |
Addresses
Primary practice location
1525 Blue Hill Ave
Boston, MA 02126-1702
Mailing address
55 7TH St
Apartment 1
Cambridge, MA 02141-1516
Phone (857) 205-9515
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8814 | MA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1861666356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 7TH ST",
"address_2": "APARTMENT 1",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021411516",
"telephone_number": "857-205-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 BLUE HILL AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021261702",
"telephone_number": "617-296-1700",
"fax_number": "617-296-2979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSPER",
"first_name": "VANESSA",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "8814",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "8814",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.