Active NPI
Judith Schechtman, PSY.D
- Clinical Psychologist
- Newton, MA
National Provider Identifier
1467423293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6420
- Practice address
- 2364 Washington St
Newton, MA 02462-1440 - Phone
- (617) 332-2047
- Fax
- (617) 332-7341
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6420 | MA | Primary |
Addresses
Primary practice location
2364 Washington St
Newton, MA 02462-1440
Mailing address
2364 Washington St
Newton, MA 02462-1440
Phone (617) 332-2047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W05304 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2014 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6420 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton-Wellesley Psychiatry | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1467423293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2364 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621440",
"telephone_number": "617-332-2047",
"fax_number": "617-332-7341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2364 WASHINGTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621440",
"telephone_number": "617-332-2047",
"fax_number": "617-332-7341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHECHTMAN",
"first_name": "JUDITH",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W05304",
"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 Apr 10, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.