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CLEMENTE VEGA III PSY.D.
NPI 1033431317
Clinical Neuropsychologist in Boston, MA

Active since February 27, 2010PECOS Enrolled
300 LONGWOOD AVE, FEGAN 9, BOSTON, MA 02115(617) 355-4462 Get Directions Write a Review

NPPES record last updated: July 18, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clemente Vega Iii Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEMENTE VEGA III PSY.D. (NPI 1033431317) is an individual clinical neuropsychologist in Boston, Massachusetts, licensed in Massachusetts (9201) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033431317
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameCLEMENTE VEGA IIICredential: PSY.D.
Location Address300 LONGWOOD AVE, FEGAN 9Boston, MA 02115-5724
Mailing Address300 Longwood Ave, Fegan 9Boston, MA 02115-5724 · (617) 355-4462
Phone(617) 355-4462
Sole ProprietorYes
Enumeration DateFebruary 27, 2010
Last NPPES UpdateJuly 18, 2011
✔ NPI 1033431317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Licenses✔ Licensed in MA · 9201✔ Licensed in CT · 3000
Definition
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.
300 LONGWOOD AVE, Boston, MA 02115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clemente Vega Iii Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Clemente Vega reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

C H Neurology Foundation Inc
Same address
Neurology with Special Qualifications in Child Neurology
300 LONGWOOD AVE, FEGAN 11
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 153 clinicians in this Medicare group
NPI 1063432417 (617) 355-6388

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MRS. LAUREN ASHLEY SHARIS P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clemente Vega's NPI number?

The NPI number for Clemente Vega is 1033431317. It was assigned to this individual provider in the NPPES registry on February 27, 2010.

Where is Clemente Vega located?

Clemente Vega practices at 300 Longwood Ave Fegan 9, Boston, MA 02115. The listed phone number is (617) 355-4462.

What is Clemente Vega's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Clemente Vega enrolled in Medicare?

Yes. Clemente Vega is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clemente Vega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clemente Vega reassigns Medicare benefits to C H Neurology Foundation Inc (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clemente Vega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Clemente Vega was last updated on July 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.