Dr Kerrie Llc
LBN: Dr Kerrie Llc
Dr Kerrie Llc is an health care organization with primary practice located at 10 Hawthorne Park , Cambridge MA 02138-2104. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is the primary health care specialty.
Dr Kerrie Llc can be contacted via phone (617) 372-5653, or through Jongeneelen, Kerrie via phone (617) 372-5653.
Contact Information
Primary practice address
10 Hawthorne Park
Cambridge MA 02138-2104
Phone: (617) 372-5653
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | ||
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
| Behavioral Health & Social Service Providers / Family | 103TF0000X |
Profile Details
| NPI number | 1033672100 |
|---|---|
| LBN Legal business name | Dr Kerrie Llc |
| DBA Doing business as | |
| Authorized official | Jongeneelen, Kerrie PSY.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 7th, 2019 |
| Last updated | Jun 11th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033672100 | NPPES |
| Massachusetts | MEDICAID | 110138961 |
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