Active NPI
Robert S Powell, D.O.
- Neurology Physician
- North Easton, MA
National Provider Identifier
1649208885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 73353
- Practice address
- 66 Main St
North Easton, MA 02356-1443 - Phone
- (508) 238-7766
- Fax
- (508) 230-5089
- NPI assigned
- Jun 28, 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 73353 | MA | Primary |
Addresses
Primary practice location
66 Main St
North Easton, MA 02356-1443
Mailing address
66 Main St
North Easton, MA 02356-1443
Phone (508) 238-7766
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J11429 | Other | MA | BC BS OF MASSACHUSETTS |
| 478850 | Other | MA | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Associates of Southeastern Massachusetts, LLC | Past | Accepting new patients | |
| Child and Family Psychological Services, PLLC | 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.
-
dba LifeStance Health
- Psychologist
- Norwood, MA
- NPI 1912987181
-
- Clinical Psychologist
- North Easton, MA
- NPI 1326052317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1649208885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 MAIN ST",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023561443",
"telephone_number": "508-238-7766",
"fax_number": "508-230-5089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 MAIN ST",
"city": "NORTH EASTON",
"state": "MA",
"postal_code": "023561443",
"telephone_number": "508-238-7766",
"fax_number": "508-230-5089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ROBERT",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "73353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF MASSACHUSETTS",
"identifier": "J11429",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "478850",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Easton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.