Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700111358 Individual Practitioner Female Practitioner

Dr. Katia Margarita Canenguez , PhD, EDM

Psychologist • Boston, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Katia Canenguez, PhD, EDM is a certified Psychologist practicing in Boston, MA. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Canenguez delivers high-quality medical care to the local community at 55 FRUIT ST.

Dr. Canenguez is affiliated with The General Hospital Corporation and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

55 Fruit St

Boston, MA 021142621

Telephone 6177247399
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Boston, MA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -3.1 yrs vs City Avg
City Avg: 15.1 Yrs
State Avg: 32.3 Yrs
Regional Practice Density
471 Specialists

Practicing in Boston, MA (2533 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Canenguez (12 Years) 12 Yrs
Boston Specialty Average (15.1 Years) 15.1 Yrs

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License MA 103TC0700X

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Hospital & Practice Group Affiliations

The General Hospital Corporation

55 Fruit St, Boston, MA 021142621

Phone: 6177262000

Secondary Practice Locations

780 American Legion Hwy

Roslindale, MA 021313908

Phone: 6174698500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Stuti Shroff , MD, MBBS

Pathology - Anatomic Pathology

NPI 1003050691

Doctor of Medicine (M.D.), Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Nancy Wang , MD

Internal Medicine - Hematology & Oncology

NPI 1003101056

Doctor of Medicine (M.D.)

NPI 1003103813

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. John Danko , DO

Physical Medicine & Rehabilitation

NPI 1003109596

Doctor of Osteopathic Medicine (D.O.)

Dr. Michael Lobritz , MD, PhD

Internal Medicine - Infectious Disease

NPI 1003122540

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Kelly Trecartin , NP

Nurse Practitioner - Acute Care

NPI 1003130469

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Psychologist (License #103TC0700X in MA)

NPI Profile Active January 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2018

Registered at 55 FRUIT ST, BOSTON, MA 021142621 (Tel: 6177247399)

📍
Updated Business Mailing Address January 09, 2018

Registered at 780 AMERICAN LEGION HWY, ROSLINDALE, MA 021313908

👤
Provider Name / Credentials Updated January 09, 2018

Recorded as KATIA CANENGUEZ, PH.D.,ED.M.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2018

Psychologist

NPI Profile Active February 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2010

Registered at 780 AMERICAN LEGION HWY, ROSLINDALE, MA 021313908 (Tel: 6174698500)

📍
Updated Business Mailing Address February 15, 2010

Registered at 780 AMERICAN LEGION HWY, ROSLINDALE, MA 021313908

👤
Provider Name / Credentials Updated February 15, 2010

Recorded as KATIA CANENGUEZ, ED.M.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2010

Psychologist (License #103TC0700X in MA)

🟢
Initial NPI Registration & Enumeration October 14, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700111358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2009
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

780 American Legion Hwy

Roslindale, MA 021313908

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.