Individual provider Active NPI

Robert C Maron, EDD

  • Psychologist
  • Needham, MA
National Provider Identifier
1023180437
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6095 Issued in MA
Practice address
10 Chestnut Street
Needham, MA 02492
Phone
(781) 449-1143
Fax
(781) 449-5992
NPI assigned
Nov 14, 2006
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6095 MA Primary

Addresses

Primary practice location

10 Chestnut Street
Needham, MA 02492

Mailing address

10 Chestnut Street
Needham, MA 02492
Phone (781) 449-1143

Other identifiers 3

IdentifierTypeStateIssuer
W04958OtherBCBS
006095OtherTUFTS
085675OtherVALUE OPTIONS

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
I20121105000041 MA Practitioner - Clinical Psychologist 5991956732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Psychiatric Services, P.CGroup PAC ID 4183524887, 17 clinicians

Practice addresses (Care Compare)

1261 Furnace Brook Pkwy
Suite 31
Quincy, MA 02169-4787
Phone (617) 479-4545

851 Main St
Suite 4
Weymouth, MA 02190-1613
Phone (781) 821-2701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6095MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Psychiatric Services, PC CurrentSince Nov 1, 2014 Accepting new patients
Beacon Hill Behavioral Health PLLC Psychologist CurrentSince Jul 11, 2026 Accepting new patients
Maron Dga PC Past Accepting new patients

Locations

234 Copeland St
Ste 320
Quincy, MA 02169
Phone (617) 786-0137

851 Main St
Ste 4
Weymouth, MA 02190
Phone (781) 340-1222

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1023180437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHESTNUT STREET",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02492",
            "telephone_number": "781-449-1143",
            "fax_number": "781-449-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHESTNUT STREET",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "02492",
            "telephone_number": "781-449-1143",
            "fax_number": "781-449-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARON",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W04958",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "006095",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "085675",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham, MA

Sources for this page

Verify at the official NPI Registry.