Therese Ida Hattemer, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

56769 Issued in MA

Practice address

108 Churchill Ave
Arlington, MA 02476-7822

Phone

(781) 488-3303

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457576001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CHURCHILL AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024767822",
            "telephone_number": "781-488-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CHURCHILL AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024767822",
            "telephone_number": "781-488-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTEMER",
        "first_name": "THERESE",
        "middle_name": "IDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "56769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J08558",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "56769",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Harris, M.D.
• Paul David Harrison, LICSW
• Joseph Bradford Hart, D.M.D.
• William Joseph Hartigan Jr., DPM
• Norah K Hass, PSY.D.
• Michael Hayes
• Healing Well Counseling, LLC
• Sharon Paulshock Heermance, PH.D.
• Lisa Diane Heisterkamp Davis, LMHC
• Thomas James Baird Heneghan, OTR/L

• Psychiatry Physician in Arlington, MA
• Providers in Arlington, MA by specialty
• Psychiatry Physician in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.