Active NPI
Dr. Tegan Barson, Inc.
- Clinical Psychologist
- Beverly, MA
National Provider Identifier
1497299861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10369
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.