Ellen B Braaten is a Psychologist in Boston, Massachusetts. Ellen B Braaten practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Ellen B Braaten is 1629068804. The last update date is 2007-07-08.
Ellen B Braaten's current location address is 5 Emerson Pl, Boston, Massachusetts. You can contact this provider via phone number 6177249813 and fax number 6177243726. The mailing address for Ellen B Braaten is 5 Emerson Pl, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen B Braaten |
|---|---|
| Address | 5 Emerson Pl, Boston, Massachusetts |
| Phone Number | 6177249813 |
| Fax Number | 6177243726 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1629068804 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5 Emerson Pl |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21142240 |
| Phone Number | 6177249813 |
| Fax Number | 6177243726 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 7752 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 723413 | MA | TUFTS HEALTH PLAN | |
| W05976 | MA | BCBS MA | |
| 500160 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ellen B Braaten by the Centers for Medicare & Medicaid Services?
The Ellen B Braaten has been assigned the NPI (National Provider Identifier) 1629068804. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ellen B Braaten is located?
The Ellen B Braaten is situated at the following address: 5 Emerson Pl, Boston, MA, 21142240.
What is the Ellen B Braaten's area of specialization and corresponding taxonomy classification?
The Ellen B Braaten's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629068804 to Ellen B Braaten?
The Centers for Medicare & Medicaid Services originally issued the 1629068804 to Ellen B Braaten on 2005-10-27.
When was the information regarding Ellen B Braaten most recently updated?
The details pertaining to the Ellen B Braaten, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.