Active NPI
Ruth E Lewis PHD LLC
- Community/Behavioral Health Agency
- Arlington, MA
National Provider Identifier
1306184247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 7359
- Legal business name
- RUTH E LEWIS PHD LLC
- Practice address
- 742 Massachusetts Ave
Arlington, MA 02476-4712 - Phone
- (781) 483-3329
- Fax
- (855) 893-1289
- NPI assigned
- Jan 28, 2013
- Organization subpart
- Yes
- Parent organization
- RUTH E. LEWIS PHD LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruth Ellen Lewis, PHD
- Title
- Clinical Pyschologist
- Phone
- (781) 483-3329
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 7359 | MA | Primary |
Addresses
Primary practice location
742 Massachusetts Ave
Arlington, MA 02476-4712
Mailing address
742 Massachusetts Ave
Arlington, MA 02476-4712
Phone (781) 483-3329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110022442A | Medicaid | MA |
National Provider Directory
National Provider Directory- Part of
- Ruth E Lewis PHD LLC
Locations
742 Massachusetts Ave
Arlington, MA 02476
Phone (781) 483-3329
185 Alewife Brook Pkwy
Ste 416
Cambridge, MA 02138
Phone (617) 869-6662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359331200000",
"number": "1306184247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 MASSACHUSETTS AVE",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764712",
"telephone_number": "781-483-3329",
"fax_number": "855-893-1289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "742 MASSACHUSETTS AVE",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764712",
"telephone_number": "781-483-3329",
"fax_number": "855-893-1289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUTH E LEWIS PHD LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RUTH E. LEWIS PHD LLC",
"enumeration_date": "2013-01-28",
"last_updated": "2013-01-28",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "CLINICAL PYSCHOLOGIST",
"authorized_official_telephone_number": "781-483-3329",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MA",
"license": "7359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110022442A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.