Active NPI
Celiane M Rey-Casserly, PHD
- Clinical Neuropsychologist
- Boston, MA
National Provider Identifier
1891869285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 3244
- Practice address
- 300 Longwood Ave
Children'S Hospital
Boston, MA 02115-5724 - Phone
- (617) 355-6708
- Fax
- (617) 730-0319
- NPI assigned
- Nov 20, 2006
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 3244 | MA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3244 | MA |
Addresses
Primary practice location
300 Longwood Ave
Children'S Hospital
Boston, MA 02115-5724
Mailing address
300 Longwood Avenue
Children'S Hospital
Boston, MA 02115
Phone (617) 355-6708
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 |
|---|---|---|---|
| 3244 | MA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1891869285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVENUE",
"address_2": "CHILDREN'S HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-355-6708",
"fax_number": "617-730-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"address_2": "CHILDREN'S HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155724",
"telephone_number": "617-355-6708",
"fax_number": "617-730-0319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REY-CASSERLY",
"first_name": "CELIANE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "3244",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "3244",
"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 Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.