Individual provider Active NPI

Steven J. Hirsch, PH.D.

  • Clinical Neuropsychologist
  • Providence, RI
National Provider Identifier
1578570735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
205 Issued in RI
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
205RIMDClinical 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

Verify at the official NPI Registry.