Active NPI
Naomi Leavitt, PH.D.
- Forensic Psychologist
- Cambridge, MA
National Provider Identifier
1548325178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 4457
- Practice address
- Cambridge Court Clinic
40 Thorndike St.
Cambridge, MA 02141 - Phone
- (617) 577-7243
- NPI assigned
- Dec 26, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 4457 | MA | Primary |
Addresses
Primary practice location
Cambridge Court Clinic
40 Thorndike St.
Cambridge, MA 02141
Mailing address
PO Box 620154
Newton, MA 02462-0154
Phone (781) 673-2647
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4457 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548325178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 620154",
"city": "NEWTON",
"state": "MA",
"postal_code": "024620154",
"telephone_number": "781-673-2647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAMBRIDGE COURT CLINIC",
"address_2": "40 THORNDIKE ST.",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02141",
"telephone_number": "617-577-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVITT",
"first_name": "NAOMI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "4457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.