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KIM CELONE WILLMENT PHD NPI 1710274717


NPI Information

NPI: 1710274717
Provider Name: KIM CELONE WILLMENT, PHD
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
75 FRANCIS ST
BOSTON, MA
ZIP 02115
Phone: (617) 732-5500
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Kim Celone Willment, PHD is a clinical neuropsychologist in Boston, MA with 13 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Kim Celone Willment, PHD NPI is 1710274717. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

75 FRANCIS ST
BOSTON, MA
ZIP 02115-110
Phone: (617) 732-5500

The NPI 1710274717 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Group psychotherapy (HCPCS:90853)
  • Psychotherapy, 45 minutes (HCPCS:90834)
  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Neuropsychological testing evaluation by qualified health care professional, first 60 minutes (HCPCS:96132)

The enumeration date for this NPI number is 6/29/2011 and was last updated on 2/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TH0100XPsychologistHealth Service9721MASSACHUSETTSNo
2103G00000XClinical Neuropsychologist9721MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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