Active NPI
David Stein Rainen, PSY.D., M.S.
- Clinical Psychologist
- Andover, MA
National Provider Identifier
1487969804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10095
- Practice address
- 10 Essex St
Suite 8
Andover, MA 01810-3729 - Phone
- (978) 482-7063
- NPI assigned
- Aug 10, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10095 | MA | Primary |
Addresses
Primary practice location
10 Essex St
Suite 8
Andover, MA 01810-3729
Mailing address
10 Essex St
Suite 8
Andover, MA 01810-3729
Phone (978) 482-7063
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10095 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1487969804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ESSEX ST",
"address_2": "SUITE 8",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018103729",
"telephone_number": "978-482-7063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ESSEX ST",
"address_2": "SUITE 8",
"city": "ANDOVER",
"state": "MA",
"postal_code": "018103729",
"telephone_number": "978-482-7063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINEN",
"first_name": "DAVID",
"middle_name": "STEIN",
"name_prefix": "Dr.",
"credential": "PSY.D., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-10",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.