Organization Active NPI

Kthryn P. Rapperport, MD, PC

  • Prescribing (Medical) Psychologist
  • Lexington, MA
National Provider Identifier
1184014011
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
78675 Issued in MA
Legal business name
KTHRYN P. RAPPERPORT, MD, PC
Practice address
8 Wallis CT
Lexington, MA 02421-5417
Phone
(781) 862-7487
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Authorized official

Name
Dr. Kathryn Porter Rapperport, MDNPI 1962599001
Title
Owner
Phone
(781) 862-7487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 78675 MA Primary

Addresses

Primary practice location

8 Wallis CT
Lexington, MA 02421-5417

Mailing address

8 Wallis CT
Lexington, MA 02421-5417
Phone (781) 862-7487

Other identifiers 1

IdentifierTypeStateIssuer
110053938BMedicaidMA

National Provider Directory

National Provider Directory

Locations

8 Wallis Ct
Lexington, MA 02421
Phone (781) 862-7487

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1184014011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WALLIS CT",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215417",
            "telephone_number": "781-862-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WALLIS CT",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215417",
            "telephone_number": "781-862-7487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KTHRYN P. RAPPERPORT, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "RAPPERPORT",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "PORTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-862-7487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MA",
            "license": "78675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110053938B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.