Active NPI
Judith Lynn Silverstein, PHD
- Clinical Psychologist
- Needham Heights, MA
National Provider Identifier
1033292834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4200
- Practice address
- 29 Briarwood Cir
Needham Heights, MA 02494-1829 - Phone
- (781) 449-6211
- Fax
- (781) 449-4042
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4200 | MA | Primary |
Addresses
Primary practice location
29 Briarwood Cir
Needham Heights, MA 02494-1829
Mailing address
29 Briarwood Cir
Needham Heights, MA 02494-1829
Phone (781) 449-6211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W04129 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4200 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033292834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 BRIARWOOD CIR",
"city": "NEEDHAM HEIGHTS",
"state": "MA",
"postal_code": "024941829",
"telephone_number": "781-449-6211",
"fax_number": "781-449-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BRIARWOOD CIR",
"city": "NEEDHAM HEIGHTS",
"state": "MA",
"postal_code": "024941829",
"telephone_number": "781-449-6211",
"fax_number": "781-449-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERSTEIN",
"first_name": "JUDITH",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "4200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W04129",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Needham Heights, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.