Individual provider Active NPI

Peter Joseph Swartz, PSYD

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1619943735
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4996 Issued in MA
Practice address
243 Charles St.
Suite 264 Massachusetts Eye & Ear Infirmary
Boston, MA 02114-3096
Phone
(978) 521-5624
Fax
(978) 463-4962
NPI assigned
Feb 28, 2006
Last updated
Aug 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4996 MA
Clinical Psychologist 103TC0700X 4996 MA Primary

Addresses

Primary practice location

243 Charles St.
Suite 264 Massachusetts Eye & Ear Infirmary
Boston, MA 02114-3096

Mailing address

P.O. Box 514
W. Newbury, MA 01985
Phone (978) 521-5624

Other identifiers 1

IdentifierTypeStateIssuer
0520411MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000337 MA Practitioner - Clinical Psychologist 9335179183 Practice locations: Newburyport, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Merrimac St
Suite 17
Newburyport, MA 01950-2562
Phone (978) 521-5624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4996MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon E. Sweeney, LCSW, Inc. Past Accepting new patients
Personal Care Physicians, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1619943735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 514",
            "city": "W. NEWBURY",
            "state": "MA",
            "postal_code": "01985",
            "telephone_number": "978-521-5624",
            "fax_number": "978-463-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST.",
            "address_2": "SUITE 264 MASSACHUSETTS EYE & EAR INFIRMARY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143096",
            "telephone_number": "978-521-5624",
            "fax_number": "978-463-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4996",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0520411",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.