Organization Active NPI

Ruth E Lewis PHD LLC

  • Community/Behavioral Health Agency
  • Arlington, MA
National Provider Identifier
1306184247
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7359 Issued in MA
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110022442AMedicaidMA

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.

Verify at the official NPI Registry.