Active NPI
Gemima St. Louis, PHD
- Psychologist
- Mattapan, MA
National Provider Identifier
1972630622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7842
- Practice address
- 255 River St
Spark Center-BMC
Mattapan, MA 02126 - Phone
- (617) 534-2050
- Fax
- (617) 534-2057
- NPI assigned
- Feb 28, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7842 | MA | Primary |
Addresses
Primary practice location
255 River St
Spark Center-BMC
Mattapan, MA 02126
Mailing address
255 River St
Spark Center-BMC
Mattapan, MA 02126
Phone (617) 534-2050
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972630622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 RIVER ST",
"address_2": "SPARK CENTER-BMC",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "02126",
"telephone_number": "617-534-2050",
"fax_number": "617-534-2057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 RIVER ST",
"address_2": "SPARK CENTER-BMC",
"city": "MATTAPAN",
"state": "MA",
"postal_code": "02126",
"telephone_number": "617-534-2050",
"fax_number": "617-534-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. LOUIS",
"first_name": "GEMIMA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mattapan, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.