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COURTNEY ANN FORMICOLA M.A., M.PSY
NPI 1417448481
Counselor - Mental Health in Quincy, MA

Active since May 24, 2018
859 WILLARD ST, QUINCY, MA 02169(914) 384-0915 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Courtney Ann Formicola M.a., M.psy NPPES

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

COURTNEY ANN FORMICOLA M.A., M.PSY (NPI 1417448481) is an individual mental health provider in Quincy, Massachusetts and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1417448481
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCOURTNEY ANN FORMICOLACredential: M.A., M.PSY
Location Address859 WILLARD STQuincy, MA 02169-7482
Mailing Address1701 16th St Nw Apt 640Washington, DC 20009-3155
Phone(914) 384-0915
Sole ProprietorYes
Enumeration DateMay 24, 2018
✔ NPI 1417448481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
859 WILLARD ST, Quincy, MA 02169
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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.

HEATHER RISSER
Student in an Organized Health Care Education/Training Program
859 WILLARD ST, STE 430
QUINCY, MA 02169
Norfolk County (617) 847-1950
ANTONIA V SILVEIRA BA
Case Manager/Care Coordinator
859 WILLARD ST, STE 430
QUINCY, MA 02169
Norfolk County (617) 847-1950
MIRIAM LEBON
Case Manager/Care Coordinator
859 WILLARD ST
QUINCY, MA 02169
Norfolk County (617) 847-1950
ELISE COHEN
Psychologist
859 WILLARD ST
QUINCY, MA 02169
Norfolk County (703) 615-0212
MR. JEAN ALAIN DAGOBERT
Occupational Therapist (Mental Health)
859 WILLARD ST
QUINCY, MA 02169
Norfolk County (617) 847-1083
MS. JENNIE CATHERINE WILLIAMS MA
Psychologist
859 WILLARD ST, ONE ADAMS PLACE
QUINCY, MA 02169
Norfolk County (617) 774-1075
SHALLA REID BARNES
Student in an Organized Health Care Education/Training Program
859 WILLARD ST, STE. 430
QUINCY, MA 02169
Norfolk County (617) 847-1950
JILLIAN CHRISTINE SCRIBI
Social Worker (Clinical)
859 WILLARD ST, SUITE 430
QUINCY, MA 02169
Norfolk County (617) 847-1909

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 Courtney Formicola's NPI number?

The NPI number for Courtney Formicola is 1417448481. It was assigned to this individual provider in the NPPES registry on May 24, 2018.

Where is Courtney Formicola located?

Courtney Formicola practices at 859 Willard St, Quincy, MA 02169. The listed phone number is (914) 384-0915.

What is Courtney Formicola's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Courtney Formicola was last updated on May 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.