Individual provider Active NPI

Eleanor Schmidt

  • Psychologist
  • Cambridge, MA
National Provider Identifier
1396377982
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
11266 Issued in MA
Practice address
49 Hancock St # 210
Cambridge, MA 02139-3188
Phone
(617) 826-8414
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 11266 MA Primary

Addresses

Primary practice location

49 Hancock St # 210
Cambridge, MA 02139-3188

Mailing address

49 Hancock St # 210
Cambridge, MA 02139-3188
Phone (617) 826-8414

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

State licenses

LicenseStateTypeSpecialty
11266MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sounder Psychology LLC CurrentSince Jul 17, 2022 Accepting new patients
Abk Counseling & Wellness, LLC Psychologist PastSince Feb 1, 2020 Accepting new patients

Locations

49 Hancock St
#210
Cambridge, MA 02139
Phone (617) 826-8414

Organizations & group practices 2

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1396377982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HANCOCK ST # 210",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393188",
            "telephone_number": "617-826-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HANCOCK ST # 210",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393188",
            "telephone_number": "617-826-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ELEANOR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "11266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.