Active NPI
Andrew Lyon Kumin, PSY. D.
- Clinical Psychologist
- Salem, MA
National Provider Identifier
1619930906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7099
- Practice address
- 1 Salem GRN
Suite 400
Salem, MA 01970-3724 - Phone
- (978) 745-1555
- Fax
- (978) 745-9555
- NPI assigned
- Apr 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7099 | MA | Primary |
Addresses
Primary practice location
1 Salem GRN
Suite 400
Salem, MA 01970-3724
Mailing address
1 Salem GRN
Suite 400
Salem, MA 01970-3724
Phone (978) 745-1555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619930906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SALEM GRN",
"address_2": "SUITE 400",
"city": "SALEM",
"state": "MA",
"postal_code": "019703724",
"telephone_number": "978-745-1555",
"fax_number": "978-745-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SALEM GRN",
"address_2": "SUITE 400",
"city": "SALEM",
"state": "MA",
"postal_code": "019703724",
"telephone_number": "978-745-1555",
"fax_number": "978-745-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMIN",
"first_name": "ANDREW",
"middle_name": "LYON",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.