Active NPI
Donna Fromberg, PSY.D.
- Psychologist
- Newton, MA
National Provider Identifier
1104883917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6457
- Practice address
- 248 Homer St
Newton, MA 02459-1412 - Phone
- (617) 491-0311
- NPI assigned
- Apr 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6457 | MA | Primary |
Addresses
Primary practice location
248 Homer St
Newton, MA 02459-1412
Mailing address
248 Homer Street
Newton, MA 02459-2206
Phone (617) 491-0311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6457 | Other | MA | LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 17, 2020 through Nov 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6457 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1104883917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 HOMER STREET",
"city": "NEWTON",
"state": "MA",
"postal_code": "024592206",
"telephone_number": "617-491-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 HOMER ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024591412",
"telephone_number": "617-491-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROMBERG",
"first_name": "DONNA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "6457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "6457",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}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 Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.