Provider Demographics
NPI:1538236120
Name:CAREY, EMILY A (PHD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:A
Last Name:CAREY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:872 MASSACHUSETTS AVE
Mailing Address - Street 2:SUITE 1-8
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-3073
Mailing Address - Country:US
Mailing Address - Phone:617-868-7867
Mailing Address - Fax:617-144-1337
Practice Address - Street 1:872 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE 1-8
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-3073
Practice Address - Country:US
Practice Address - Phone:617-868-7867
Practice Address - Fax:617-441-3378
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3725103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1853252Medicaid
MA1898868OtherMBHP
MA1853252Medicaid