Active NPI
Harry W. Parad, PH.D.
- Clinical Child & Adolescent Psychologist
- Jamaica Plain, MA
National Provider Identifier
1104158039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 3814
- Practice address
- 155 Chestnut Ave
Jamaica Plain, MA 02130-1862 - Phone
- (617) 637-2021
- Fax
- (857) 203-9203
- NPI assigned
- Feb 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3814 | MA | Primary |
Addresses
Primary practice location
155 Chestnut Ave
Jamaica Plain, MA 02130-1862
Mailing address
155 Chestnut Ave
Jamaica Plain, MA 02130-1862
Phone (617) 637-2021
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3814 | MA | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1104158039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 CHESTNUT AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021301862",
"telephone_number": "617-637-2021",
"fax_number": "857-203-9203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CHESTNUT AVE",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021301862",
"telephone_number": "617-637-2021",
"fax_number": "857-203-9203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARAD",
"first_name": "HARRY",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "3814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.