Bold Psych, LLC
NPI 1164007340ActiveOrganization· Psychologist, Clinical· Cambridge, MA
Psychologist, Clinical in Cambridge, Massachusetts, registered in NPPES in March 2021. The authorized official on file is Christina Supelana, PHD, Owner.
Overview
| NPI | 1164007340 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 10, 2021 |
| Last updated in NPPES | Mar 10, 2021 |
| Certified by provider | Mar 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other clinical psychologists in Cambridge
- 1033453584
- 1114018272
- 1114537131
- 1235933656
- 1255488474
- 1255579918
- 1255654224
- 1275308058
- 1306383351
- 1316387020
- 1346107505
- 1356000681
All 294 clinical psychologists in Cambridge · All clinical psychologists in Massachusetts