Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Genesis Vergara, PHD

Individual provider Clinical Psychologist · NPI 1215636915

Genesis Vergara, PHD is a Clinical Psychologist in Revere, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

300 Ocean Ave
Revere, MA 02151-3675
Phone: (781) 485-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY10001870 (MA)

Record details

NPI number1215636915
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMarch 1, 2023
Last updated in NPPESSeptember 14, 2026
Certification dateSeptember 14, 2026

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