Individual provider Active NPI

Joshua P Smith, PH.D., MPH

  • Clinical Psychologist
  • Burlington, MA
National Provider Identifier
1396876843
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9882 Issued in MA
Practice address
101 Cambridge St 300
Burlington, MA 01803-3768
Phone
(781) 366-0339
Fax
(781) 273-3399
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7149 MA
Clinical Psychologist 103TC0700X 9882 MA Primary

Addresses

Primary practice location

101 Cambridge St 300
Burlington, MA 01803-3768

Mailing address

160 Curve St
Dedham, MA 02026-2127
Phone (617) 780-9119

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
I20150102000388 MA Practitioner - Clinical Psychologist 5698098416 Reassigns benefits to 2 organizations
Practice locations: Burlington, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

159 Wells Ave
Newton, MA 02459-3301
Phone (617) 243-6142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7149MAMDMental Health Counselor
9882MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Suburban Massachusetts Inc CurrentSince Feb 23, 2021 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jan 2, 2018 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jan 2, 2018 Accepting new patients
Newton Wellesley Hospital Current Accepting new patients

Locations

330 Brookline Ave
#203
Boston, MA 02215
Phone (617) 667-3364

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

159 Wells Ave
Newton Centre, MA 02459
Phone (617) 243-5777

2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000

Interoperability endpoints

  • Direct secure messaging: smith.joshua.nwh@direct.partners.masshiway.net

Organizations & group practices 4

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1396876843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CURVE ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262127",
            "telephone_number": "617-780-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE ST 300",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033768",
            "telephone_number": "781-366-0339",
            "fax_number": "781-273-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOSHUA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PH.D., MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "7149",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.