Address: 790 Boylston St Apt 3b, Boston, MA 02199-7901

ALEXANDRA MAYORCA RODMAN (NPI# 1679155170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679155170
Entity Type Individual
Gender Female
Credential PHD
Practice Address 790 Boylston St Apt 3b
MA 02199-7901
Practice Telephone 5083613700
Mailing Address 790 Boylston St Apt 3b
MA 02199-7901
Mailing Telephone 5083613700
Certification Date 2021-04-23
Enumeration Date 2021-04-23
Last Update Date 2021-04-23
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 103T00000X Psychologist Behavioral Health & Social Service Providers

Office Location

Street Address 790 BOYLSTON ST APT 3B
State MA
Zip Code 02199-7901

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NPI Name Taxonomy Address Enumeration
1578617163 Michael O Toole Dentist - General Practice 800 Boylston Street, Suite 200, Boston, MA 02199 2007-01-22
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy 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 procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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NPI Name Taxonomy Address Enumeration
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1356824288 Mira Mooreville Nurko Psychologist 71 Rockview St, Boston, MA 02130-2147 2018-09-06
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.