Active NPI
Sasha Fleary, PHD
- Clinical Psychologist
- Hyde Park, MA
National Provider Identifier
1225655871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11238-PY-PR
- Practice address
- 28 Walter St
Hyde Park, MA 02136-2973 - Phone
- (646) 244-8939
- NPI assigned
- Jun 30, 2020
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 11238-PY-PR | MA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 11238-PY-PR | MA | |
| Family Psychologist | 103TF0000X | 11238-PY-PR | MA | |
| Health Psychologist | 103TH0004X | 11238-PY-PR | MA | |
| Clinical Psychologist | 103TC0700X | 11238-PY-PR | MA | Primary |
Addresses
Primary practice location
28 Walter St
Hyde Park, MA 02136-2973
Mailing address
28 Walter St
Hyde Park, MA 02136-2973
Phone (646) 244-8939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11238-PY-PR | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1225655871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 WALTER ST",
"city": "HYDE PARK",
"state": "MA",
"postal_code": "021362973",
"telephone_number": "646-244-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 WALTER ST",
"city": "HYDE PARK",
"state": "MA",
"postal_code": "021362973",
"telephone_number": "646-244-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEARY",
"first_name": "SASHA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "11238-PY-PR",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "11238-PY-PR",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MA",
"license": "11238-PY-PR",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "MA",
"license": "11238-PY-PR",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11238-PY-PR",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyde Park, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.