Provider Demographics
NPI:1306974183
Name:PINA, CELINA (PSYD)
Entity type:Individual
Prefix:DR
First Name:CELINA
Middle Name:
Last Name:PINA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 FIELD VIEW LANE
Mailing Address - Street 2:PO BOX 0870
Mailing Address - City:WEST TISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02575-0870
Mailing Address - Country:US
Mailing Address - Phone:508-996-8800
Mailing Address - Fax:508-996-8688
Practice Address - Street 1:127 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-5311
Practice Address - Country:US
Practice Address - Phone:508-996-8800
Practice Address - Fax:508-996-8688
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA259101YM0800X
MA160106H00000X
NY0016381101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA043196299OtherUNITED BEHAVIORAL HEALTH
MA0000LMG030OtherBCBS
MA000000024854Medicaid
MA1892711Medicaid
MA7543709OtherAETNA
MA0137530Medicaid