Active NPI
Lynda Morris Parham, PH.D.
- Clinical Psychologist
- Brookline, MA
National Provider Identifier
1588764757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8235
- Practice address
- 1330 Beacon St
Ste 327
Brookline, MA 02446-3203 - Phone
- (617) 358-1804
- NPI assigned
- Sep 25, 2006
- Last updated
- Jan 13, 2017
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8235 | MA | Primary |
Addresses
Primary practice location
1330 Beacon St
Ste 327
Brookline, MA 02446-3203
Mailing address
503 Plano Dr
Durham, NC 27703-7816
Phone (617) 364-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8235 | Other | MA | LICDPSYCHOLOGIST PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100526001105 | MA | Practitioner - Clinical Psychologist | 9436226685 | Practice locations: Brookline, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Massachusetts Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1330 Beacon St
Suite 327
Brookline, MA 02446-3203
Phone (617) 364-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8235 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1588764757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 PLANO DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277037816",
"telephone_number": "617-364-8888",
"fax_number": "509-463-6385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BEACON ST",
"address_2": "STE 327",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463203",
"telephone_number": "617-358-1804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARHAM",
"first_name": "LYNDA",
"middle_name": "MORRIS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICDPSYCHOLOGIST PROVIDER",
"identifier": "8235",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.