Active NPI
Anita C Mehlman, PH.D.
- Clinical Psychologist
- Georgetown, MA
National Provider Identifier
1497060313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 521
- Practice address
- 1 E Main St
Georgetown, MA 01833-2037 - Phone
- (978) 352-9001
- Fax
- (978) 352-8960
- NPI assigned
- Aug 16, 2010
- 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 | 521 | MA | Primary |
Addresses
Primary practice location
1 E Main St
Georgetown, MA 01833-2037
Mailing address
1 E Main St
Georgetown, MA 01833-2037
Phone (978) 352-9001
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 |
|---|---|---|---|
| 521 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1497060313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E MAIN ST",
"city": "GEORGETOWN",
"state": "MA",
"postal_code": "018332037",
"telephone_number": "978-352-9001",
"fax_number": "978-352-8960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E MAIN ST",
"city": "GEORGETOWN",
"state": "MA",
"postal_code": "018332037",
"telephone_number": "978-352-9001",
"fax_number": "978-352-8960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHLMAN",
"first_name": "ANITA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-16",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Georgetown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.