DR. IDA KELLISON PH.D.
NPI 1346508140
Clinical Neuropsychologist in Boston, MA
About Dr. Ida Kellison Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. IDA KELLISON PH.D. (NPI 1346508140) is an individual clinical neuropsychologist in Boston, Massachusetts, licensed in Massachusetts (9512) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Ida Kellison Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
BOSTON, MA 02130
BOSTON, MA 02130
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 Ida Kellison's NPI number?
The NPI number for Ida Kellison is 1346508140. It was assigned to this individual provider in the NPPES registry on April 30, 2012.
Where is Ida Kellison located?
Ida Kellison practices at 150 S Huntington Ave VA Boston Healthcare System, Psychology, 116B, Boston, MA 02130. The listed phone number is (857) 364-6204.
What is Ida Kellison's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Ida Kellison enrolled in Medicare?
Yes. Ida Kellison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Ida Kellison accept?
Health plans from Anthem Blue Cross and Blue Shield list Ida Kellison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ida Kellison was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Ida Kellison, PH.D. · NPI 1346508140
Clinical Neuropsychologist provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since April 30, 2012.
## Identity
- **NPI:** 1346508140 (Entity type: Individual)
- **Enumerated:** April 30, 2012
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** 9512 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM, PSYCHOLOGY, 116B, Boston, MA 02130-4817
- **Phone:** (857) 364-6204
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** April 30, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1346508140) · Data from the CMS NPPES public registry.