Judith Anne Bevis, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4250 Issued in MA

Practice address

40 South St
Suite 201
Marblehead, MA 01945-3282

Phone

(781) 599-6582

NPI assigned

Mar 7, 2006

Last updated

Apr 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1194792226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SOUTH ST",
            "address_2": "SUITE 201",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453282",
            "telephone_number": "781-599-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SOUTH ST",
            "address_2": "SUITE 201",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453282",
            "telephone_number": "781-599-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVIS",
        "first_name": "JUDITH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "4250",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4250",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "4250",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0520217",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Alexis Bednar, DMD
• Caryn P. Berman, M.ED MSW LICSW
• Nancy Bertaux, NP
• Candace Eve Berzellini
• Best Life Counseling
• Ryan D Birch, DPT, PT
• John-Michael Joseph Bona, O.D.
• Angelo Guy Boncore, D.M.D.
• Michael Scott Bornhorst, MSW LICSW
• Amanda C Bowers, M.D.

• Clinical Psychologist in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.

Verify at the official NPI Registry.