Individual provider Active NPI

Anita Kremgold-Myer, E.D.

  • Clinical Psychologist
  • Burlington, MA
National Provider Identifier
1679619431
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4363 Issued in MA
Practice address
60 Mall Rd
Suite 204
Burlington, MA 01803-4517
Phone
(781) 229-6700
Fax
(781) 229-6701
NPI assigned
Jan 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4363 MA Primary

Addresses

Primary practice location

60 Mall Rd
Suite 204
Burlington, MA 01803-4517

Mailing address

60 Mall Rd
Suite 204
Burlington, MA 01803-4517
Phone (781) 229-6700

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4363MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Neurofeedback, PC Clinical PastSince Dec 31, 2001 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679619431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MALL RD",
            "address_2": "SUITE 204",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034517",
            "telephone_number": "781-229-6700",
            "fax_number": "781-229-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MALL RD",
            "address_2": "SUITE 204",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034517",
            "telephone_number": "781-229-6700",
            "fax_number": "781-229-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREMGOLD-MYER",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "E.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.