Active NPI
Jean Bellows, PSY.D.
- Psychologist
- Boston, MA
National Provider Identifier
1487979571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4200
- Practice address
- 82 Marlborough St
Boston, MA 02116-2020 - Phone
- (617) 536-9198
- Fax
- (617) 859-4848
- NPI assigned
- Mar 31, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4200 | MA | Primary |
Addresses
Primary practice location
82 Marlborough St
Boston, MA 02116-2020
Mailing address
82 Marlborough St
Boston, MA 02116-2020
Phone (617) 536-9198
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4200 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269993600000",
"number": "1487979571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 MARLBOROUGH ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162020",
"telephone_number": "617-536-9198",
"fax_number": "617-859-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 MARLBOROUGH ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162020",
"telephone_number": "617-536-9198",
"fax_number": "617-859-4848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLOWS",
"first_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-31",
"last_updated": "2010-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.