Active NPI
Jeanne M Schwalbach
- Marriage & Family Therapist
- Medford, MA
National Provider Identifier
1083884340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 901
- Practice address
- 200 Boston Ave
Suite 1900
Medford, MA 02155-4243 - Phone
- (781) 306-1180
- Fax
- (781) 306-1190
- NPI assigned
- Mar 3, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1625 | MA | |
| Marriage & Family Therapist | 106H00000X | 901 | MA | Primary |
Addresses
Primary practice location
200 Boston Ave
Suite 1900
Medford, MA 02155-4243
Mailing address
200 Boston Ave
Suite 1900
Medford, MA 02155-4243
Phone (781) 306-1180
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 |
|---|---|---|---|
| 1625 | MA | MD | Clinical Psychologist |
| 901 | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1083884340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BOSTON AVE",
"address_2": "SUITE 1900",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554243",
"telephone_number": "781-306-1180",
"fax_number": "781-306-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BOSTON AVE",
"address_2": "SUITE 1900",
"city": "MEDFORD",
"state": "MA",
"postal_code": "021554243",
"telephone_number": "781-306-1180",
"fax_number": "781-306-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWALBACH",
"first_name": "JEANNE",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-03",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "1625",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.