Individual provider Active NPI

Marcia Conant, PHD

  • Clinical Psychologist
  • Westminster, MA
National Provider Identifier
1245687458
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4847 Issued in MA
Practice address
71 Main St
Suite 2C
Westminster, MA 01473-1472
Phone
(978) 668-5099
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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 4847 MA Primary

Addresses

Primary practice location

71 Main St
Suite 2C
Westminster, MA 01473-1472

Mailing address

23 Old Shirley Rd
Harvard, MA 01451-1309
Phone (978) 456-9814

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161021001810 MA Practitioner - Clinical Psychologist 7810275013 Practice locations: Harvard, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23 Old Shirley Rd
Harvard, MA 01451-1309
Phone (978) 273-1046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4847MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1245687458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 OLD SHIRLEY RD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511309",
            "telephone_number": "978-456-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 MAIN ST",
            "address_2": "SUITE 2C",
            "city": "WESTMINSTER",
            "state": "MA",
            "postal_code": "014731472",
            "telephone_number": "978-668-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONANT",
        "first_name": "MARCIA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MA

Sources for this page

Verify at the official NPI Registry.