Active NPI
Jill Kramer Colman, PSY.D.
- Psychologist
- Cambridge, MA
National Provider Identifier
1427114529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7458
- Practice address
- 1105 Massachusetts Ave
Suite 2a
Cambridge, MA 02138-5220 - Phone
- (617) 905-8759
- NPI assigned
- Dec 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7458 | MA | Primary |
Addresses
Primary practice location
1105 Massachusetts Ave
Suite 2a
Cambridge, MA 02138-5220
Mailing address
1105 Massachusetts Ave
Suite 2a
Cambridge, MA 02138-5220
Phone (617) 905-8759
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7458 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427114529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 MASSACHUSETTS AVE",
"address_2": "SUITE 2A",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385220",
"telephone_number": "617-905-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 MASSACHUSETTS AVE",
"address_2": "SUITE 2A",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021385220",
"telephone_number": "617-905-8759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLMAN",
"first_name": "JILL",
"middle_name": "KRAMER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7458",
"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 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.