Individual provider Active NPI

James Horvitz, PHD

  • Clinical Psychologist
  • Stoughton, MA
National Provider Identifier
1649350240
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1857 Issued in MA
Practice address
27 Glen St Ste 13
Stoughton, MA 02072-2481
Phone
(781) 682-1060
Fax
(781) 682-1061
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1857 MA Primary

Addresses

Primary practice location

27 Glen St Ste 13
Stoughton, MA 02072-2481

Mailing address

27 Glen St Ste 13
Stoughton, MA 02072-2481
Phone (781) 344-0998

Other identifiers 3

IdentifierTypeStateIssuer
W01972OtherMABCBS PROVIDER NUMBER
0511595MedicaidMD
6101040OtherMAEVERCARE PROVIDER NUMBER

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
I20040817000344 MA Practitioner - Clinical Psychologist 4183697238 Practice locations: Sharon, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 Chessman Dr
Sharon, MA 02067-2410
Phone (781) 799-5712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1857MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobehavioral Associates III, Inc Clinical PastSince May 25, 1999 Accepting new patients
Nova Psychiatric Service Past Accepting new patients
Nova Psychiatric Services, PC PastSince Apr 14, 2018 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1649350240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GLEN ST STE 13",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722481",
            "telephone_number": "781-344-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GLEN ST STE 13",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020722481",
            "telephone_number": "781-682-1060",
            "fax_number": "781-682-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORVITZ",
        "first_name": "JAMES",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "1857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "W01972",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0511595",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PROVIDER NUMBER",
            "identifier": "6101040",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

Verify at the official NPI Registry.