Edith Pepper

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

49779 Issued in MA

Practice address

500 N Main St
Randolph, MA 02368-6700

Phone

(781) 885-0466

NPI assigned

Oct 4, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1982

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Clarity of Mind Mental HealthGroup PAC ID 3476916750, 2 clinicians

Uplift Behavioral Health Services LLCGroup PAC ID 0042677510, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Clarity of Mind Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Randolph, MA
  • NPI 1659016889
  Medicare reassignment Care Compare group NPD
• Uplift Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • West Roxbury, MA
  • NPI 1245982990
  Medicare reassignment Care Compare group NPD
• Fidelia Counseling Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woburn, MA
  • NPI 1083335517
  Medicare reassignment NPD
• Light House Behavioral Health and Wellness Center Inc.

  • Community/Behavioral Health Agency
  • Boston, MA
  • NPI 1134622426
  Medicare reassignment NPD
• Luminosity Behavioral Health Services Inc

  • Community/Behavioral Health Agency
  • Brockton, MA
  • NPI 1265728521
  Medicare reassignment NPD
• FCP, Inc

  • Community/Behavioral Health Agency
  • Lawrence, MA
  • NPI 1992819411
  NPD (past)
• The Commonwealth of Massachusetts

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1326155458
  NPD (past)
• Uplift Behavioral Health Services LLC

  • Urgent Care Clinic/Center
  • Brockton, MA
  • NPI 1982561825
  NPD (past)

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1033428495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BEACONSFIELD RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024453302",
            "telephone_number": "904-415-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023686700",
            "telephone_number": "781-885-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "EDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME84097",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "49779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6190782",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Marie Pean
• Lindsay Ellen Pearlstein
• Kelly Pecaro
• Perla Maciel Peguero
• Keilany Pena
• Richard Perez
• Tatiana M Perez, MSW
• Seth Perkins, PH.D.
• Perpetual Home Health Care Services Inc.
• Mariangela Y Perrella

• Psychiatry Physician in Randolph, MA
• Providers in Randolph, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.