Active NPI
James Michael Hickey
- Clinical Psychologist
- Brighton, MA
National Provider Identifier
1649339524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7216
- Practice address
- 17 Henshaw St
Brighton, MA 02135-2905 - Phone
- (617) 787-4349
- Fax
- (617) 202-4212
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- 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 | 7216 | MA | Primary |
Addresses
Primary practice location
17 Henshaw St
Brighton, MA 02135-2905
Mailing address
15 Henshaw St
Suite #3
Brighton, MA 02135-2905
Phone (617) 787-4349
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 |
|---|---|---|---|---|
| I20070124000542 | MA | Practitioner - Clinical Psychologist | 5294736849 | Practice locations: Brighton, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
17 Henshaw St
Brighton, MA 02135-2905
Phone (617) 787-4349
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7216 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649339524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HENSHAW ST",
"address_2": "SUITE #3",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352905",
"telephone_number": "617-787-4349",
"fax_number": "617-202-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 HENSHAW ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352905",
"telephone_number": "617-787-4349",
"fax_number": "617-202-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, 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.
- 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.