Active NPI
Mark R Stewart, ED.D
- Marriage & Family Therapist
- Cambridge, MA
National Provider Identifier
1750520367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MH1076MF
- Practice address
- 205 Western Ave
Cambridge, MA 02139-3750 - Phone
- (857) 523-9344
- NPI assigned
- Feb 5, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MH1076MF | MA | Primary |
Addresses
Primary practice location
205 Western Ave
Cambridge, MA 02139-3750
Mailing address
205 Western Ave
Cambridge, MA 02139-3750
Phone (857) 523-9344
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH1076MF | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233792000000",
"number": "1750520367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 WESTERN AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393750",
"telephone_number": "857-523-9344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 WESTERN AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393750",
"telephone_number": "857-523-9344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MARK",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "ED.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-05",
"last_updated": "2009-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "MH1076MF",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.