Individual provider Active NPI

Stephanie Joy Katzman, PSY.D.

  • Clinical Psychologist
  • Burlington, MA
National Provider Identifier
1326179078
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18208 Issued in CA
Practice address
101 Cambridge St Ste 230
Burlington, MA 01803-3767
Phone
(978) 222-3121
Fax
(978) 296-3460
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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 PSY18208 CA Primary

Addresses

Primary practice location

101 Cambridge St Ste 230
Burlington, MA 01803-3767

Mailing address

7 Greenwood St
Lexington, MA 02421-6609
Phone (310) 600-1525

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
I20200713001558 MA Practitioner - Clinical Psychologist 3779906557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of Connecticut PCGroup PAC ID 9436502879, 132 clinicians

Practice addresses (Care Compare)

101 Cambridge St
Suite 230
Burlington, MA 01803-3767
Phone (978) 222-3121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY18208CAMDClinical Psychologist
11202MAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Apr 20, 2024 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Apr 20, 2024 Accepting new patients
Vista del Mar Child and Family SVC. PastSince Mar 6, 2022 Accepting new patients

Locations

140 Wood Rd
#206
Braintree, MA 02184

101 Cambridge St
Ste 230
Burlington, MA 01803
Phone (603) 472-2846

Interoperability endpoints

  • Direct secure messaging: stephanie.katzman.1@28623.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1326179078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GREENWOOD ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024216609",
            "telephone_number": "310-600-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE ST STE 230",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033767",
            "telephone_number": "978-222-3121",
            "fax_number": "978-296-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZMAN",
        "first_name": "STEPHANIE",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.