Active NPI
Sebastian M. Barr, PHD
- Clinical Psychologist
- Cambridge, MA
National Provider Identifier
1144636739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1609-PY-PR-TEMP
- Practice address
- 56 Portsmouth St # 2
Cambridge, MA 02141-1328 - Phone
- (704) 651-2997
- NPI assigned
- Jul 3, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | 02994 | KS | |
| Health Service Psychologist | 103TH0100X | |||
| Clinical Psychologist | 103TC0700X | 1609-PY-PR-TEMP | MA | Primary |
Addresses
Primary practice location
56 Portsmouth St # 2
Cambridge, MA 02141-1328
Mailing address
770 Massachusetts Ave #390299
Cambridge, MA 02139-1721
Phone (617) 299-6263
Other practice location 1
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1183
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 |
|---|---|---|---|
| 02994 | KS | MD | Psychologist |
| 1609-PY-PR-TEMP | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1144636739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 MASSACHUSETTS AVE #390299",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021391721",
"telephone_number": "617-299-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 PORTSMOUTH ST # 2",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021411328",
"telephone_number": "704-651-2997"
}
],
"practiceLocations": [
{
"address_1": "1493 Cambridge St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021391047",
"country_code": "US",
"telephone_number": "617-665-1183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARR",
"first_name": "SEBASTIAN",
"middle_name": "M.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KS",
"license": "02994",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "1609-PY-PR-TEMP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.