Terese C Chipman, APRN BC

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X

License

122080 Issued in MA

Practice address

14 Fordham Rd
The Boston Center 2ND Floor
Allston, MA 02134-3006

Phone

(617) 782-6460

Fax

(617) 783-9685

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1922073600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FORDHAM RD",
            "address_2": "THE BOSTON CENTER 2ND FLOOR",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021343006",
            "telephone_number": "617-782-6460",
            "fax_number": "617-783-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FORDHAM RD",
            "address_2": "THE BOSTON CENTER 2ND FLOOR",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021343006",
            "telephone_number": "617-782-6460",
            "fax_number": "617-783-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPMAN",
        "first_name": "TERESE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "122080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Allston, MA
• Providers in Allston, MA by specialty
• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.