Individual provider Active NPI

Paige Collins Simpson-Hamilton, PSY.D.

  • Clinical Psychologist
  • Cambridge, MA
National Provider Identifier
1174680060
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8109 Issued in MA
Practice address
1696 Massachusetts Ave
Second Floor
Cambridge, MA 02138-1803
Phone
(617) 835-3225
Fax
(617) 864-0538
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8109 MA Primary

Addresses

Primary practice location

1696 Massachusetts Ave
Second Floor
Cambridge, MA 02138-1803

Mailing address

1696 Massachusetts Ave
Second Floor
Cambridge, MA 02138-1803
Phone (617) 835-3225

Other identifiers 1

IdentifierTypeStateIssuer
W06252OtherMABLUE CROSS BLUE SHIELD MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2017 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8109MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174680060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 MASSACHUSETTS AVE",
            "address_2": "SECOND FLOOR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381803",
            "telephone_number": "617-835-3225",
            "fax_number": "617-864-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 MASSACHUSETTS AVE",
            "address_2": "SECOND FLOOR",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381803",
            "telephone_number": "617-835-3225",
            "fax_number": "617-864-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON-HAMILTON",
        "first_name": "PAIGE",
        "middle_name": "COLLINS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "W06252",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.