Active NPI
Jeremy Stewart, PHD
- Clinical Psychologist
- Belmont, MA
National Provider Identifier
1245722701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10700
- Practice address
- McLean Hospital, 115 Mill Street
Mailstop 331
Belmont, MA 02478 - Phone
- (617) 855-4458
- NPI assigned
- May 31, 2018
- Last updated
- May 31, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10700 | MA | Primary |
Addresses
Primary practice location
McLean Hospital, 115 Mill Street
Mailstop 331
Belmont, MA 02478
Mailing address
McLean Hospital, 115 Mill Street
Mailstop 331
Belmont, MA 02478
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 |
|---|---|---|---|
| 10700 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1245722701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MCLEAN HOSPITAL, 115 MILL STREET",
"address_2": "MAILSTOP 331",
"city": "BELMONT",
"state": "MA",
"postal_code": "02478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MCLEAN HOSPITAL, 115 MILL STREET",
"address_2": "MAILSTOP 331",
"city": "BELMONT",
"state": "MA",
"postal_code": "02478",
"telephone_number": "617-855-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-31",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.