Active NPI
Michelle C Silverman, PHD
- Clinical Child & Adolescent Psychologist
- Cambridge, MA
National Provider Identifier
1689166738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 11366
- Practice address
- 799 Concord Ave
Cambridge, MA 02138-1048 - Phone
- (617) 871-9878
- NPI assigned
- Jun 5, 2018
- Last updated
- Sep 26, 2023
- Sex
- Female
- 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 Child & Adolescent Psychologist | 103TC2200X | 11366 | MA | Primary |
Addresses
Primary practice location
799 Concord Ave
Cambridge, MA 02138-1048
Mailing address
799 Concord Ave
Cambridge, MA 02138-1048
Phone (617) 871-9878
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11366 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1689166738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "799 CONCORD AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381048",
"telephone_number": "617-871-9878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 CONCORD AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381048",
"telephone_number": "617-871-9878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERMAN",
"first_name": "MICHELLE",
"middle_name": "C",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "11366",
"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 Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.