Active NPI
Steven J. Hirsch, PH.D.
- Clinical Neuropsychologist
- Providence, RI
National Provider Identifier
1578570735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 205
- Practice address
- 1 Richmond SQ Ste 104C
Providence, RI 02906-5154 - Phone
- (401) 272-9666
- NPI assigned
- Aug 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 2659 | MA | |
| Clinical Neuropsychologist | 103G00000X | 205 | RI | Primary |
Addresses
Primary practice location
1 Richmond SQ Ste 104C
Providence, RI 02906-5154
Mailing address
1 Richmond SQ Ste 104C
Providence, RI 02906-5154
Phone (401) 272-9666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100922000192 | MA | Practitioner - Clinical Psychologist | 3779609201 | Practice locations: Attleboro, MA; Fall River, MA; Stoughton, MA |
| I20101108000943 | RI | Practitioner - Clinical Psychologist | 3779609201 | Practice locations: Providence, RI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Richmond SQ
Suite 104C
Providence, RI 02906-5154
Phone (401) 272-9666
1 Richmond Square
Suite 104C
Providence, RI 02906-5154
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205 | RI | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578570735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RICHMOND SQ STE 104C",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065154",
"telephone_number": "401-272-9666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RICHMOND SQ STE 104C",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065154",
"telephone_number": "401-272-9666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRSCH",
"first_name": "STEVEN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "2659",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "RI",
"license": "205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.