Individual provider Active NPI

Carole Slipowitz, BOTH PSY.D.AND LICSW

  • Psychologist
  • Newton, MA
National Provider Identifier
1003039942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6710 Issued in MA
Practice address
53 Langley Rd
Suite 230
Newton, MA 02459-1913
Phone
(617) 549-6426
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6710 MA Primary

Addresses

Primary practice location

53 Langley Rd
Suite 230
Newton, MA 02459-1913

Mailing address

74 Maynard St
West Newton, MA 02465-1359
Phone (617) 630-0665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190814002554 MA Practitioner - Clinical Psychologist 3072840982 Practice locations: West Newton, MA; Newton Highlands, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

74 Maynard St
West Newton, MA 02465-1359
Phone (617) 630-0665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003039942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 MAYNARD ST",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024651359",
            "telephone_number": "617-630-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 LANGLEY RD",
            "address_2": "SUITE 230",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591913",
            "telephone_number": "617-549-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIPOWITZ",
        "first_name": "CAROLE",
        "credential": "BOTH PSY.D.AND LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.