| Newton Neuropsychology, Pllc | |
|
725 Concord Ave Ste 2100 Cambridge MA 02138-1052 | |
| (201) 456-1115 | |
| Not Available |
| Full Name | Newton Neuropsychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 725 Concord Ave Ste 2100, Cambridge, Massachusetts |
| Authorized Official Name and Position | Danielle Shaked (OWNER) |
| Authorized Official Contact | 2014561115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newton Neuropsychology, Pllc 725 Concord Ave Ste 2100 Cambridge MA 02138-1052 Ph: () - | Newton Neuropsychology, Pllc 725 Concord Ave Ste 2100 Cambridge MA 02138-1052 Ph: (201) 456-1115 |
| NPI Number | 1518767870 |
|---|---|
| Provider Enumeration Date | 03/17/2025 |
| Last Update Date | 03/17/2025 |
| Certification Date | 03/17/2025 |
| Medicare PECOS PAC ID | 3072039494 |
|---|---|
| Medicare Enrollment ID | O20250429002404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518767870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Danielle Shaked |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225795784 PECOS PAC ID: 4082090576 Enrollment ID: I20221006002756 |
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