Eric Kenyon Sweitzer, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4550 Issued in MA

Practice address

6 Plympton St
Middleboro, MA 02346-1602

Phone

(508) 947-1901

Fax

(508) 946-1615

NPI assigned

Dec 3, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1133568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1013991900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ALLISON RD",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023462635",
            "telephone_number": "508-946-4921",
            "fax_number": "508-923-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PLYMPTON ST",
            "city": "MIDDLEBORO",
            "state": "MA",
            "postal_code": "023461602",
            "telephone_number": "508-947-1901",
            "fax_number": "508-946-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEITZER",
        "first_name": "ERIC",
        "middle_name": "KENYON",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-03",
        "last_updated": "2021-01-24",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0520136",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Stull, MSW
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• Elizabeth A Swanson, NP
• Julia Tavares
• Jeffrey Taylor
• Meghan Thayer
• Caleigh Ann Theall
• Linda Ann Thomas, PHYSICAL THERAPIST

• Clinical Psychologist in Middleboro, MA
• Providers in Middleboro, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.