Alexis Chavis is a Psychologist in Revere, Massachusetts. Alexis Chavis practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Alexis Chavis is 1659590966. The last update date is 2021-02-03.
Alexis Chavis's current location address is 454 Broadway, Revere, Massachusetts. You can contact this provider via phone number 7814858222. The mailing address for Alexis Chavis is 454 Broadway, Revere, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexis Chavis |
|---|---|
| Address | 454 Broadway, Revere, Massachusetts |
| Phone Number | 7814858222 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY |
NPI Number Detail
| NPI Number | 1659590966 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2021-02-03 |
Provider Mailing Address Detail
| Address | 454 Broadway |
|---|---|
| City | Revere |
| State | Massachusetts (MA) |
| Post Code | 21513034 |
| Phone Number | 7814858222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 31520 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31520 | CA | PSYCHOLOGIST |
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What is the unique 10-digit identification code issued to Alexis Chavis by the Centers for Medicare & Medicaid Services?
The Alexis Chavis has been assigned the NPI (National Provider Identifier) 1659590966 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Alexis Chavis?
The Alexis Chavis is physically situated at 454 Broadway, in the city of Revere, state of MA, with the postal code 21513034.
What is Alexis Chavis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Alexis Chavis's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did Alexis Chavis receive its 1659590966 assignment from the Centers for Medicare & Medicaid Services?
The Alexis Chavis was assigned its 1659590966 on 2007-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Alexis Chavis's details last updated?
The information pertaining to the Alexis Chavis, including its address, specialty, and other details, was most recently updated on 2021-02-03.