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NPI Code Detail

MEDICARE: DR. KEITH SULLIVAN CHIAPPA PSY.D.

MEDICARE: DR. KEITH SULLIVAN CHIAPPA PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist8454MA

General Provider Information

NPI Number : 1952382541
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEITH SULLIVAN CHIAPPA PSY.D.
Provider Business Mailing Address
First Line : 272 SILVER HILL RD
Second Line :
City : CONCORD
State : MA
Zip : 01742-5338
Country : US
Telephone Number : 617-599-8579
Fax Number :
Provider Business Practice Location Address
First Line : 49 WALTHAM ST STE 2
Second Line :
City : LEXINGTON
State : MA
Zip : 02421-5411
Country : US
Telephone Number : 617-340-3122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 02/11/2026

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