Organization Active NPI

Dr. Tegan Barson, Inc.

  • Clinical Psychologist
  • Beverly, MA
National Provider Identifier
1497299861
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10369 Issued in MA
Legal business name
DR. TEGAN BARSON, INC.
Practice address
55 Middlebury LN
Beverly, MA 01915
Phone
(516) 429-5178
Fax
(617) 706-2603
NPI assigned
Dec 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Tegan Barson, PSYD
Title
Owner
Phone
(516) 429-5178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 10369 MA Primary

Addresses

Primary practice location

55 Middlebury LN
Beverly, MA 01915

Mailing address

55 Middleburg LN
Beverly, MA 01915

National Provider Directory

National Provider Directory

Locations

50 Congress St
Ste 636
Boston, MA 02109
Phone (617) 315-8941

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1497299861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MIDDLEBURG LN",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MIDDLEBURY LN",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "516-429-5178",
            "fax_number": "617-706-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TEGAN BARSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "BARSON",
        "authorized_official_first_name": "TEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-429-5178",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.