Jeffrey A Botman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3850 Issued in MA

Practice address

15 Story St
Cambridge, MA 02138-4950

Phone

(617) 868-3353

Fax

(617) 500-0237

NPI assigned

Jul 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Kendall Square Therapeutic Health Center, P.C.

  dba Harvard Square Chiropractic

  • Chiropractor
  • Cambridge, MA
  • NPI 1811136732
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750302766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381084",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "022381084",
            "telephone_number": "617-868-3353",
            "fax_number": "617-500-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STORY ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021384950",
            "telephone_number": "617-868-3353",
            "fax_number": "617-500-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTMAN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston LTSS Community Partners, LLC
• Boston Nutrition Consulting, LLC
• Boston Physiatry LLC
• Reid Thomas Boswell, M.D., M.P.H.
• Leslie Bosworth, LICSW
• Jenna Boucher, DPT
• Miranda Mara Boucher
• Rebecca Bourgery, PHARMD
• Mollie Bourne
• Joseph G Bouscaren, M.D.

• Clinical Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Psychologist in Massachusetts

• 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.
• 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.

Verify at the official NPI Registry.