Active NPI
Mary Beth Lean, PSY.D.
- Clinical Psychologist
- Harwich Port, MA
National Provider Identifier
1750384467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6839
- Practice address
- 537 Route 28
Ste 2G
Harwich Port, MA 02646-1894 - Phone
- (508) 430-8672
- Fax
- (508) 430-9821
- NPI assigned
- May 27, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6839 | MA | Primary |
Addresses
Primary practice location
537 Route 28
Ste 2G
Harwich Port, MA 02646-1894
Mailing address
8 Shoal Hope Dr
West Harwich, MA 02671-1615
Phone (508) 430-8672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0501514 | Medicaid | MA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6839 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1750384467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 SHOAL HOPE DR",
"city": "WEST HARWICH",
"state": "MA",
"postal_code": "026711615",
"telephone_number": "508-430-8672",
"fax_number": "508-430-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 ROUTE 28",
"address_2": "STE 2G",
"city": "HARWICH PORT",
"state": "MA",
"postal_code": "026461894",
"telephone_number": "508-430-8672",
"fax_number": "508-430-9821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAN",
"first_name": "MARY BETH",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0501514",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harwich Port, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.