Active NPI
Stuart Jay Clayman, PH.D.
- Clinical Psychologist
- Brighton, MA
National Provider Identifier
1366588485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2171
- Practice address
- 121B Tremont St
Newton Office Suites
Brighton, MA 02135-2455 - Phone
- (617) 782-8355
- Fax
- (617) 254-9053
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2171 | MA | Primary |
Addresses
Primary practice location
121B Tremont St
Newton Office Suites
Brighton, MA 02135-2455
Mailing address
181 Lake Shore Rd
4
Brighton, MA 02135-6350
Phone (617) 782-8355
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 |
|---|---|---|---|
| 2171 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366588485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 LAKE SHORE RD",
"address_2": "4",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021356350",
"telephone_number": "617-782-8355",
"fax_number": "617-254-9053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121B TREMONT ST",
"address_2": "NEWTON OFFICE SUITES",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352455",
"telephone_number": "617-782-8355",
"fax_number": "617-254-9053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYMAN",
"first_name": "STUART",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "2171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.