Alisa Beaver, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

7794 Issued in MA

Practice address

155 Maple St
Suite 207
Springfield, MA 01105-2649

Phone

(413) 285-8722

Fax

(413) 285-8722

NPI assigned

Nov 17, 2016

Last updated

Nov 17, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Western Mass Home Health Services Inc

  • Home Health Agency
  • Springfield, MA
  • NPI 1043600778
  NPD

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1043752306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MAPLE ST",
            "address_2": "SUITE 207",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011052649",
            "telephone_number": "413-320-1180",
            "fax_number": "413-285-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAPLE ST",
            "address_2": "SUITE 207",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011052649",
            "telephone_number": "413-285-8722",
            "fax_number": "413-285-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "ALISA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7794",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1286",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle L Beaulieu, NP
• Derek Beaulieu Sr.
• Nathan Michael Beaulieu
• Cynthia P Beauregard, CCC A
• Maggie Beauvais
• Paula Anne Beaver, NP
• Cristina Becerra, MSW
• Deborah Becerra
• Fehim Becirbasic
• Linda R Beck, MA, LSW

• Psychologist in Springfield, MA
• Providers in Springfield, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.