Provider Demographics
NPI:1235017138
Name:RUTSTEIN, CATHERINE OLIVIA
Entity type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:OLIVIA
Last Name:RUTSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:376 OCEAN AVE APT 1201
Mailing Address - Street 2:
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-2646
Mailing Address - Country:US
Mailing Address - Phone:860-655-2286
Mailing Address - Fax:
Practice Address - Street 1:90 EVERETT AVE STE 12
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-2317
Practice Address - Country:US
Practice Address - Phone:617-307-4228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health