Active NPI
Miles Tarter, PSY.D.
- Clinical Psychologist
- Cambridge, MA
National Provider Identifier
1659498103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8703
- 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
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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8703 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.