Active NPI
Rivian Kenyan Lewin, MS
- Clinical Psychologist
- Brookline, MA
National Provider Identifier
1699423673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY10000715
- Practice address
- 10 Sewall Avenue
Ste 207
Brookline, MA 02446 - Phone
- (602) 904-3126
- NPI assigned
- Mar 17, 2022
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY10000715 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
10 Sewall Avenue
Ste 207
Brookline, MA 02446
Mailing address
10 Sewall Ave Ste 207
Brookline, MA 02446-5155
Phone (602) 904-3126
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10000715 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Clinical Psychology | Current | Accepting new patients |
Locations
10 Sewall Ave
Ste 207
Brookline, MA 02446
Phone (602) 904-3126
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.
-
- Clinic/Center
- Brookline, MA
- NPI 1952130502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1699423673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 SEWALL AVE STE 207",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465155",
"telephone_number": "602-904-3126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SEWALL AVENUE",
"address_2": "STE 207",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02446",
"telephone_number": "602-904-3126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIN",
"first_name": "RIVIAN",
"middle_name": "KENYAN",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-17",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "PSY10000715",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.