NPIMap

Organization Active NPI

Paul E Greenfield

Doing business as North Shore Psychology & Behavioral Medicine Associates

  • Health Service Psychologist
  • Peabody, MA
National Provider Identifier
1093922742
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
3545 Issued in MA
Legal business name
PAUL E GREENFIELD
Doing business as
North Shore Psychology & Behavioral Medicine Associates
Practice address
6 Essex Center Dr
Suite 107
Peabody, MA 01960
Phone
(978) 532-7588
Fax
(978) 532-2494
NPI assigned
May 16, 2007
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Paul E Greenfield, ED.DNPI 1144371501
Title
Owner
Phone
(978) 532-7588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X 3545 MA Primary

Addresses

Primary practice location

6 Essex Center Dr
Suite 107
Peabody, MA 01960

Mailing address

6 Essex Center Dr
Suite 107
Peabody, MA 01960
Phone (978) 532-7588

Other names 1

  • North Shore Psychology & Behavioral Medicine Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050516000587 MA Part B Supplier - Clinic/Group Practice 8022059583 Receives reassigned benefits from 3 practitioners
Practice locations: Peabody, MA; Winthrop, MA

National Provider Directory

National Provider Directory

Locations

6 Essex Dr
Ste 107
Peabody, MA 01960
Phone (978) 532-7588

52 Crest Ave
Winthrop, MA 02152
Phone (617) 539-0197

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1093922742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "SUITE 107",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "978-532-7588",
            "fax_number": "978-532-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "SUITE 107",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "978-532-7588",
            "fax_number": "978-532-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E GREENFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-532-7588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "3545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore Psychology & Behavioral Medicine Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.