Active NPI
Lawrence S Fieman, ED.D.
- Clinical Neuropsychologist
- Salem, MA
National Provider Identifier
1750435046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 3652
- Practice address
- 4 Dove Ave
Salem, MA 01970-2944 - Phone
- (978) 745-9003
- Fax
- (978) 825-8622
- NPI assigned
- Jan 23, 2007
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 3652 | MA | Primary |
Addresses
Primary practice location
4 Dove Ave
Salem, MA 01970-2944
Mailing address
4 Dove Ave
Salem, MA 01970-2944
Phone (978) 745-9003
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W03727 | Other | MA | BLUE CROSS OF MA |
| 0517747 | Medicaid | MA | |
| W10418 | Other | MA | BLUE CROSS OF MA GROUP |
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 |
|---|---|---|---|---|
| I20080312000012 | MA | Practitioner - Clinical Psychologist | 2264517416 | Practice locations: Marblehead, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1 Prince St
Marblehead, MA 01945-2223
Phone (978) 219-9765
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1750435046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 DOVE AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019702944",
"telephone_number": "978-745-9003",
"fax_number": "978-825-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 DOVE AVE",
"city": "SALEM",
"state": "MA",
"postal_code": "019702944",
"telephone_number": "978-745-9003",
"fax_number": "978-825-8622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIEMAN",
"first_name": "LAWRENCE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "3652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MA",
"identifier": "W03727",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0517747",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MA GROUP",
"identifier": "W10418",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.