Active NPI
Rebecca Lewis Rodman, LICSW
- Psychologist
- Sharon, MA
National Provider Identifier
1083772974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 112130MA
- Practice address
- 450 N Main St # 7
Sharon, MA 02067 - Phone
- (781) 929-7969
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 112130MA | MA | Primary |
Addresses
Primary practice location
450 N Main St # 7
Sharon, MA 02067
Mailing address
450 North Main Street
Sharon, MA 02067
Phone (781) 929-7969
Other practice location 1
45 Eastman St
South Easton, MA 02375
Phone (508) 238-5766 ext. 114
Other names 1
- Rebecca Lewis Rodman
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081226000209 | MA | Practitioner - Clinical Social Worker | 4587726690 | Practice locations: Sharon, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
450 N Main St
Suite 7
Sharon, MA 02067-1172
Phone (781) 929-7969
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112130MA | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass Bay Enterprises LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- South Easton, MA
- NPI 1447395694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1083772974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 NORTH MAIN STREET",
"city": "SHARON",
"state": "MA",
"postal_code": "02067",
"telephone_number": "781-929-7969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 N MAIN ST # 7",
"city": "SHARON",
"state": "MA",
"postal_code": "02067",
"telephone_number": "781-929-7969"
}
],
"practiceLocations": [
{
"address_1": "45 Eastman St",
"address_purpose": "LOCATION",
"city": "South Easton",
"state": "MA",
"postal_code": "02375",
"country_code": "US",
"telephone_number": "508-238-5766 x114",
"fax_number": "508-238-8045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODMAN",
"first_name": "REBECCA",
"middle_name": "LEWIS",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "112130MA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "RODMAN",
"middle_name": "LEWIS",
"credential": "REBECCA SHARI LEWIS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sharon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.