Active NPI
Patricia Rea
- Clinical Neuropsychologist
- Cambridge, MA
National Provider Identifier
1164585030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 73619
- Practice address
- 25 Mount Auburn St
Suite 306
Cambridge, MA 02138-6028 - Phone
- (781) 935-5050
- NPI assigned
- Dec 19, 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 73619 | MA | Primary |
Addresses
Primary practice location
25 Mount Auburn St
Suite 306
Cambridge, MA 02138-6028
Mailing address
25 Mount Auburn St
Suite 306
Cambridge, MA 02138-6028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3094391 | Medicaid | MA |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050215000524 | MA | Practitioner - Psychiatry | 5294787586 | Practice locations: Woburn, MA; Cambridge, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Cincinnati College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2 Brewer St
Cambridge, MA 02138-5710
Phone (617) 661-6401
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164585030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MOUNT AUBURN ST",
"address_2": "SUITE 306",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021386028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MOUNT AUBURN ST",
"address_2": "SUITE 306",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021386028",
"telephone_number": "781-935-5050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REA",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "73619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3094391",
"state": "MA"
}
],
"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 Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.