Individual provider Active NPI

Philip Bauman

  • Psychologist
  • Medfield, MA
National Provider Identifier
1124519608
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7010 Issued in MA
Practice address
496 Main St
Medfield, MA 02052-2515
Phone
(508) 359-2351
NPI assigned
May 21, 2018
Last updated
May 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7010 MA Primary

Addresses

Primary practice location

496 Main St
Medfield, MA 02052-2515

Mailing address

120 Pine St
Medfield, MA 02052-1310
Phone (508) 359-9333

Other practice location 1

120 Pine St
Medfield, MA 02052-1310
Phone (508) 359-9333

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

State licenses

LicenseStateTypeSpecialty
7010MAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1124519608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PINE ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521310",
            "telephone_number": "508-359-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 MAIN ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522515",
            "telephone_number": "508-359-2351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Pine St",
            "address_purpose": "LOCATION",
            "city": "Medfield",
            "state": "MA",
            "postal_code": "020521310",
            "country_code": "US",
            "telephone_number": "508-359-9333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUMAN",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.