Individual provider Active NPI

Miles Tarter, PSY.D.

  • Clinical Psychologist
  • Cambridge, MA
National Provider Identifier
1659498103
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8703 Issued in MA
Practice address
875 Massachusetts Ave Ste 83
Cambridge, MA 02139-3071
Phone
(617) 877-5978
Fax
(206) 666-3687
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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 8703 MA Primary

Addresses

Primary practice location

875 Massachusetts Ave Ste 83
Cambridge, MA 02139-3071

Mailing address

2 Roberts Rd
Rehoboth, MA 02769-1542
Phone (617) 877-5978

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
I20070413000342 MA Practitioner - Clinical Psychologist 7315042751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Child and Family Psychological Services PLLCGroup PAC ID 5991763823, 260 clinicians

Practice addresses (Care Compare)

321 Billerica Rd
Suite 104
Chelmsford, MA 01824-4100
Phone (781) 646-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8703MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Psychological Services, PLLC Clinical CurrentSince Oct 31, 2023 Accepting new patients

Locations

321 Billerica Rd
Ste 104
Chelmsford, MA 01824

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

Organizations & group practices 1

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1659498103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROBERTS RD",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027691542",
            "telephone_number": "617-877-5978",
            "fax_number": "206-666-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVE STE 83",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393071",
            "telephone_number": "617-877-5978",
            "fax_number": "206-666-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTER",
        "first_name": "MILES",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.