Individual provider Active NPI

Diane Gail Singer Pearlman

  • Psychoanalyst
  • Lexington, MA
National Provider Identifier
1164745758
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
1022032 Issued in MA
Practice address
47 Parker St
Lexington, MA 02421-4917
Phone
(781) 652-8320
NPI assigned
Mar 10, 2010
Last updated
Mar 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 1022032 MA Primary

Addresses

Primary practice location

47 Parker St
Lexington, MA 02421-4917

Mailing address

47 Parker St
Lexington, MA 02421-4917
Phone (781) 652-8320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 12, 2021 through Oct 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1022032MAMDHospitalist Physician

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1164745758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PARKER ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214917",
            "telephone_number": "781-652-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PARKER ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214917",
            "telephone_number": "781-652-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGER PEARLMAN",
        "first_name": "DIANE",
        "middle_name": "GAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "MA",
            "license": "1022032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.