Individual provider Active NPI

Diane J Halpern

  • Cognitive & Behavioral Psychologist
  • Newton, MA
National Provider Identifier
1720886500
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
LEP232 Issued in MA
Practice address
233 Needham St Ste 420
Newton, MA 02464-1573
Phone
(617) 244-2100
Fax
(617) 244-0830
NPI assigned
Mar 6, 2025
Last updated
Mar 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X LEP232 MA Primary

Addresses

Primary practice location

233 Needham St Ste 420
Newton, MA 02464-1573

Mailing address

95 Country Club Rd
Newton Center, MA 02459-3020
Phone (617) 894-1494

Other practice location 1

95 Country Club Rd
Newton Center, MA 02459-3020
Phone (617) 894-1494

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

LicenseStateTypeSpecialty
LEP232MAMDCognitive & Behavioral Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1720886500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 COUNTRY CLUB RD",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024593020",
            "telephone_number": "617-894-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 NEEDHAM ST STE 420",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641573",
            "telephone_number": "617-244-2100",
            "fax_number": "617-244-0830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Newton Center",
            "state": "MA",
            "postal_code": "024593020",
            "country_code": "US",
            "telephone_number": "617-894-1494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALPERN",
        "first_name": "DIANE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MA",
            "license": "LEP232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.