NPPES file of Aug 9, 2026

Ida Kellison, PH.D.

Clinical Neuropsychologist · Boston, MA

Ida Kellison, PH.D. is a clinical neuropsychologist with a practice address in Boston, Massachusetts, and NPI 1346508140, issued on Apr 30, 2012. Check the license (Massachusetts 9512, as entered in NPPES) with the Massachusetts board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1346508140
Name
Ida Kellison
Credential
PH.D.
Primary taxonomy
Clinical Neuropsychologist 103G00000X
License number
9512 MA
Self-reported in NPPES; status is on the state search
Practice location
150 S Huntington Ave, Boston, MA 02130
Phone
(857) 364-6204
Enumerated
Apr 30, 2012
Record last updated
Apr 30, 2012 (not updated in 14 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20120625000519); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 150 S Huntington Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Deepa Acharya, PH.D.Clinical Psychologist1861728628
  2. Ikechukwu Achonye, PHARMDAmbulatory Care Pharmacist1720877194
  3. Brittini Allain, PHARM.DPharmacist1285035758
  4. Geraldine Allen, TECHNICIAN/OTHEROther Technician1265670541
  5. Nancy Allen, R.N.Neuroscience Clinical Nurse Specialist1861542458
  6. Elizabeth Alpert, PH.D.Clinical Psychologist1801584768

Verify Ida Kellison in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Massachusetts board licenses this profession
    Search for license 9512
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Massachusetts license search

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Bills Medicare through one group practice

  1. Newton Neuropsychology GP PLLCNewton, MA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ida Kellison among 338 clinical neuropsychologist records in Massachusetts

Ida Kellison, PH.D. is one of 338 clinical neuropsychologist records with a practice address in Massachusetts. 19% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 62% of them.

  • NPI issued2012 · 62% of these records are older, 34% newer
  • In a Medicare fileYes · 19% of these records are
  • In the CMS Doctors and Clinicians fileYes · 28% of these records are
  • Graduated2010 · median 2011 among the 93 with a school on file
  • Record last updated2012 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103G00000X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Clinical Neuropsychologist providers in Massachusetts

There are 338 clinical neuropsychologist records in Massachusetts.

The 8 clinical neuropsychologist records with the nearest ZIP codes

  1. Christopher Brady, PH.D.Boston, MA 021301871617258
  2. Catherine Fortier, PH.D.Boston, MA 021301063508372
  3. Scott Hayes, PH.D.Boston, MA 021301285866558
  4. Jeffrey Knight, PH.D.Boston, MA 021301538266226
  5. Aubrey Knoff, PHDJamaica Plain, MA 021301669283966
  6. Susan McGlynn, PH.D.Boston, MA 021301538207543
  7. Nancy Moczynski, PH.D., ABPP-CNBoston, MA 021301710025093
  8. Jennifer Vasterling, PH.D.Boston, MA 021301528100914

Common questions

What is Ida Kellison, PH.D.'s NPI number?

Ida Kellison, PH.D.'s National Provider Identifier (NPI) is 1346508140, issued on Apr 30, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Ida Kellison, PH.D. located?

The NPPES record lists a practice address at 150 S Huntington Ave, Boston, MA, 02130. Phone: (857) 364-6204. Providers update this record themselves, so call before visiting.

How can I verify Ida Kellison, PH.D.'s license?

NPPES lists Massachusetts license number 9512, as entered by the provider. Search the Massachusetts board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.