Active NPI
Carolyn R Stone, ED.D.
- Clinical Psychologist
- Newton Highlands, MA
National Provider Identifier
1073600607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3145
- Practice address
- 30 Lincoln St
Ste 3
Newton Highlands, MA 02461-1527 - Phone
- (617) 630-1523
- Fax
- (617) 630-1523
- NPI assigned
- Oct 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3145 | MA | |
| Clinical Psychologist | 103TC0700X | 3145 | MA | Primary |
Addresses
Primary practice location
30 Lincoln St
Ste 3
Newton Highlands, MA 02461-1527
Mailing address
4-8 Hartford Street
Suite 204
Newton Highlands, MA 02461
Phone (617) 630-1523
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 729246 | Other | MA | TUFT HEALTH PLAN |
| 110325000 | Other | MA | MAGELLAN BEHAVIORAL HEALT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3145 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1073600607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4-8 HARTFORD STREET",
"address_2": "SUITE 204",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "02461",
"telephone_number": "617-630-1523",
"fax_number": "617-630-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LINCOLN ST",
"address_2": "STE 3",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "024611527",
"telephone_number": "617-630-1523",
"fax_number": "617-630-1523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "CAROLYN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "3145",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "3145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFT HEALTH PLAN",
"identifier": "729246",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "110325000",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton Highlands, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.