Active NPI
Beth L Neiman, PH.D.
- Clinical Psychologist
- Newton, MA
National Provider Identifier
1437123577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6494
- Practice address
- 47 Fellsmere Rd
Newton, MA 02459-1339 - Phone
- (617) 527-4212
- Fax
- (617) 527-1664
- NPI assigned
- Feb 15, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6494 | MA | Primary |
| School Psychologist | 103TS0200X | 282824 | MA | |
| Psychologist | 103T00000X | 222 | MA |
Addresses
Primary practice location
47 Fellsmere Rd
Newton, MA 02459-1339
Mailing address
47 Fellsmere Rd
Newton, MA 02459-1339
Phone (617) 527-4212
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138708000 | Other | MA | MAGELLAN |
| 0503193 | Medicaid | MA | |
| W06341 | Other | MA | BLUE CROSS BLUE SHIELD |
| 24497 | Other | MA | CIGNA BEHAVIORAL HEALTH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222 | MA | MD | Psychologist |
| 282824 | MA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1437123577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 FELLSMERE RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024591339",
"telephone_number": "617-527-4212",
"fax_number": "617-527-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 FELLSMERE RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024591339",
"telephone_number": "617-527-4212",
"fax_number": "617-527-1664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIMAN",
"first_name": "BETH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6494",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "282824",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "222",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "138708000",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0503193",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W06341",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "24497",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.