Active NPI
Stella Bitran Johnson, PHD
- Clinical Psychologist
- Newton, MA
National Provider Identifier
1104053933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9180
- Practice address
- 50 Adams Street
Newton, MA 02460 - Phone
- (617) 390-3083
- Fax
- (617) 527-2412
- NPI assigned
- Jun 19, 2009
- 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 Psychologist | 103TC0700X | 9180 | MA | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 9180 | MA |
Addresses
Primary practice location
50 Adams Street
Newton, MA 02460
Mailing address
89 Needham Street
Apt 2342
Newton, MA 02461
Phone (617) 390-3086
Other names 1
- Stella Bitran
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 |
|---|---|---|---|---|
| I20250423000133 | MA | Practitioner - Clinical Psychologist | 5294912713 | Practice locations: Newton, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9180 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1104053933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 NEEDHAM STREET",
"address_2": "APT 2342",
"city": "NEWTON",
"state": "MA",
"postal_code": "02461",
"telephone_number": "617-390-3086",
"fax_number": "617-874-6879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 ADAMS STREET",
"city": "NEWTON",
"state": "MA",
"postal_code": "02460",
"telephone_number": "617-390-3083",
"fax_number": "617-527-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "STELLA",
"middle_name": "BITRAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-19",
"last_updated": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9180",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "9180",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STELLA",
"last_name": "BITRAN",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.