Lauren A Killeen, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

9544 Issued in MA

Practice address

927 Massachusetts Ave Ste 3
Arlington, MA 02476-4627

Phone

(781) 325-8977

Fax

(339) 707-7112

NPI assigned

Jun 30, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Social Emotional Educational & Developmental Services, LLC

  • Clinical Neuropsychologist
  • Watertown, MA
  • NPI 1528432275
  NPD Authorized official

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1972814499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1518",
            "city": "EAST ARLINGTON",
            "state": "MA",
            "postal_code": "024740023",
            "telephone_number": "781-325-8977",
            "fax_number": "339-707-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 MASSACHUSETTS AVE STE 3",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764627",
            "telephone_number": "781-325-8977",
            "fax_number": "339-707-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEEN",
        "first_name": "LAUREN",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "9544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528432275",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aida Mariam Khan, PH.D.
• David W Khoury, MD
• Christy Kiernan, LICSW
• Anneke M. Kierstead, LICSW
• Jonah Kildon, PSYD
• Hyo-Jin Kim, PH.D.
• Myung C Kim, LIC. AC.
• Kindred Counseling Services LLC
• Kinetiq Spine & Sport Physical Therapy
• Michaela Kirby, PSY.D., ATR-BC

• Clinical Child & Adolescent Psychologist in Arlington, MA
• Providers in Arlington, MA by specialty
• Clinical Child & Adolescent Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.