Individual provider Active NPI

Matthew Perlman, PHD

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1376034843
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11851 Issued in MA
Practice address
1 Washington St # 1287
Boston, MA 02108-2600
Phone
(617) 286-6688
NPI assigned
May 21, 2018
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS01981 RI
Clinical Psychologist 103TC0700X 026019 NY
Clinical Psychologist 103TC0700X PSY11851 MA Primary

Addresses

Primary practice location

1 Washington St # 1287
Boston, MA 02108-2600

Mailing address

1 Washington St # 1287
Boston, MA 02108-2600
Phone (617) 286-6688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 7, 2025 through Aug 7, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY11851MAMDClinical Psychologist
026019NYMDClinical Psychologist
PS01981RIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
MRP Psychology LLC Clinical CurrentSince Jun 29, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. PastSince Sep 8, 2021 Accepting new patients
Ohio University Psychology and Social Work Clinic Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1376034843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST # 1287",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082600",
            "telephone_number": "617-286-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST # 1287",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021082600",
            "telephone_number": "617-286-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLMAN",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01981",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "026019",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY11851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.