Individual provider Active NPI

Anica Pless Kaiser, PH.D.

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1255528717
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01269 Issued in RI
Practice address
150 S. Huntington Ave (116B2)
VA Boston Healthcare System
Boston, MA 02130-2941
Phone
(857) 364-5309
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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 PS01269 RI Primary

Addresses

Primary practice location

150 S. Huntington Ave (116B2)
VA Boston Healthcare System
Boston, MA 02130-2941

Mailing address

108 Norton Ave
Apt 12
South Easton, MA 02375-1259
Phone (989) 506-5643

Other identifiers 1

IdentifierTypeStateIssuer
PS01269OtherRIPSYCHOLOGY LICENSE

Other names 1

  • Ms. Anica Pearl Pless Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1255528717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NORTON AVE",
            "address_2": "APT 12",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751259",
            "telephone_number": "989-506-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S. HUNTINGTON AVE (116B2)",
            "address_2": "VA BOSTON HEALTHCARE SYSTEM",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021302941",
            "telephone_number": "857-364-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLESS KAISER",
        "first_name": "ANICA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PS01269",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANICA",
            "last_name": "PLESS",
            "middle_name": "PEARL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.