Active NPI
Martin Krugman, PH.D.
- Psychologist
- Beverly, MA
National Provider Identifier
1710272380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6757
- Practice address
- 32 Stone St
Beverly, MA 01915-5039 - Phone
- (978) 857-8397
- Fax
- (978) 927-1860
- NPI assigned
- Jun 12, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6757 | MA | Primary |
Addresses
Primary practice location
32 Stone St
Beverly, MA 01915-5039
Mailing address
32 Stone St
Beverly, MA 01915-5039
Phone (978) 857-8397
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111011000530 | MA | Practitioner - Clinical Psychologist | 9537331871 | Practice locations: Marblehead, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
40 S St
Suite 201
Marblehead, MA 01945-3274
Phone (978) 857-8397
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6757 | MA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307836800000",
"number": "1710272380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 STONE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155039",
"telephone_number": "978-857-8397",
"fax_number": "978-927-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 STONE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019155039",
"telephone_number": "978-857-8397",
"fax_number": "978-927-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGMAN",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-12",
"last_updated": "2011-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "6757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2011; 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.