Active NPI
Gerald W Lewis, PH.D.
- Clinical Psychologist
- Framingham, MA
National Provider Identifier
1548332240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY-2096-PR
- Practice address
- 1290 Worcester Rd
Framingham, MA 01702-5254 - Phone
- (508) 872-6228
- Fax
- (508) 370-7282
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | PY-2096-PR | MA | Primary |
Addresses
Primary practice location
1290 Worcester Rd
Framingham, MA 01702-5254
Mailing address
1290 Worcester Rd
Framingham, MA 01702-5254
Phone (508) 872-6228
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 701415 | Other | TUFTS | |
| W02312 | Other | MA | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| PY-2096-PR | MA | MD | Clinical Psychologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Framingham, MA
- NPI 1750453536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548332240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 WORCESTER RD",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017025254",
"telephone_number": "508-872-6228",
"fax_number": "508-370-7282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 WORCESTER RD",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017025254",
"telephone_number": "508-872-6228",
"fax_number": "508-370-7282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "GERALD",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "PY-2096-PR",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "701415",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W02312",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Framingham, 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.