Active NPI
Tamar Esther Faintuch, LICSW
- Mental Health Counselor
- Newton Highlands, MA
National Provider Identifier
1639640287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 122784
- Practice address
- 24 Lincoln St Ste 3
Newton Highlands, MA 02461-1561 - Phone
- (857) 540-5855
- NPI assigned
- Dec 7, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Mental Health Counselor | 101YM0800X | 122784 | MA | Primary |
Addresses
Primary practice location
24 Lincoln St Ste 3
Newton Highlands, MA 02461-1561
Mailing address
24 Lincoln St Ste 3
Newton Highlands, MA 02461-1561
Phone (857) 540-5855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 30, 2020 through Aug 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122784 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598745600000",
"number": "1639640287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 LINCOLN ST STE 3",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "024611561",
"telephone_number": "857-540-5855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 LINCOLN ST STE 3",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "024611561",
"telephone_number": "857-540-5855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAINTUCH",
"first_name": "TAMAR",
"middle_name": "ESTHER",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-07",
"last_updated": "2020-08-30",
"certification_date": "2020-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "122784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton Highlands, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.