Individual provider Active NPI

Nancy Macias-Smith, MSW

  • Psychologist
  • Newtonville, MA
National Provider Identifier
1427365022
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
10333 Issued in MA
Practice address
89 Norwood Ave
Newtonville, MA 02460-2054
Phone
(617) 930-2009
NPI assigned
Sep 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 3030515 MA
Psychologist 103T00000X 10333 MA Primary

Addresses

Primary practice location

89 Norwood Ave
Newtonville, MA 02460-2054

Mailing address

89 Norwood Ave
Newtonville, MA 02460-2054
Phone (617) 930-2009

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
I20161201001324 MA Practitioner - Clinical Psychologist 6204116668 Practice locations: Newtonville, MA; Ashburnham, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10333MAMDMental Health Counselor
3030515MAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1427365022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 NORWOOD AVE",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024602054",
            "telephone_number": "617-930-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 NORWOOD AVE",
            "city": "NEWTONVILLE",
            "state": "MA",
            "postal_code": "024602054",
            "telephone_number": "617-930-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS-SMITH",
        "first_name": "NANCY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-03",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "3030515",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "10333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtonville, MA

Sources for this page

Verify at the official NPI Registry.