Active NPI
Alyson Marie Theeman, PSYD
- Psychologist
- Bridgewater, MA
National Provider Identifier
1659509776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 10124
- Practice address
- 20 Administration Rd
Bridgewater, MA 02324 - Phone
- (508) 279-4500
- NPI assigned
- Jun 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 313482 | MA | |
| Psychologist | 103T00000X | 10124 | MA | Primary |
Addresses
Primary practice location
20 Administration Rd
Bridgewater, MA 02324
Mailing address
20 Administration Rd
Bridgewater, MA 02324-3201
Phone (508) 279-4500
Other practice location 1
66 Homer Ave Apt 110
Cambridge, MA 02138-4534
Phone (617) 549-5091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 313482 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1659509776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 ADMINISTRATION RD",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023243201",
"telephone_number": "508-279-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 ADMINISTRATION RD",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "02324",
"telephone_number": "508-279-4500"
}
],
"practiceLocations": [
{
"address_1": "66 Homer Ave Apt 110",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021384534",
"country_code": "US",
"telephone_number": "617-549-5091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THEEMAN",
"first_name": "ALYSON",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-26",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "313482",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "10124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.