Active NPI
Robert Anthony Page, PH.D.
- Psychologist
- Lynn, MA
National Provider Identifier
1659391811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6537
- Practice address
- 150 Market St
Lynn, MA 01901-1529 - Phone
- (978) 766-5335
- NPI assigned
- Jul 20, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6537 | MA | Primary |
Addresses
Primary practice location
150 Market St
Lynn, MA 01901-1529
Mailing address
40 Cherry St
Danvers, MA 01923-2820
Phone (978) 762-3183
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
55 Warren St
Roxbury, MA 02119-3235
Phone (617) 541-1829
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Behavioral Care of Ma LLC | Current | Accepting new patients | |
| Central Square Therapy Associates | Past | Accepting new patients | |
| Central Square Therapy Associates | Past | Accepting new patients |
Locations
44 School St
Rm 325
Boston, MA 02108
Phone (508) 831-8558
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Roxbury, MA
- NPI 1184112377
-
- Clinical Psychologist
- Needham, MA
- NPI 1780115519
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lynn, MA
- NPI 1093942914
-
- Clinical Psychologist
- Lynn, MA
- NPI 1194934026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659391811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 CHERRY ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019232820",
"telephone_number": "978-762-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MARKET ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019011529",
"telephone_number": "978-766-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "ROBERT",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "6537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynn, 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.