Provider Demographics
NPI:1952060998
Name:MONDI-RAGO, CHRISTINA FRANCES (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:FRANCES
Last Name:MONDI-RAGO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:FRANCES
Other - Last Name:MONDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1295 BOYLSTON ST STE 320
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3407
Mailing Address - Country:US
Mailing Address - Phone:857-218-4365
Mailing Address - Fax:
Practice Address - Street 1:1295 BOYLSTON ST STE 320
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3407
Practice Address - Country:US
Practice Address - Phone:857-218-4365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-16
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11806103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
-OtherN/A