Active NPI
Betsy M Juarez, PSY.D.
- School Psychologist
- Newton, MA
National Provider Identifier
1548524234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 455799
- Practice address
- 188 Needham St
Newton, MA 02464-1596 - Phone
- (617) 527-4610
- NPI assigned
- Jun 27, 2012
- Last updated
- Nov 9, 2012
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 455799 | MA | Primary |
Addresses
Primary practice location
188 Needham St
Newton, MA 02464-1596
Mailing address
188 Needham St
Newton, MA 02464-1596
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 455799 | MA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1548524234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 NEEDHAM ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 NEEDHAM ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641596",
"telephone_number": "617-527-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "BETSY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-27",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "455799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.