Organization Active NPI

Stephen Rothenberg,Psy.D.,P.C.

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1750589453
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3229 Issued in MA
Legal business name
STEPHEN ROTHENBERG,PSY.D.,P.C.
Practice address
10 Newbury St # 4
Boston, MA 02116-3204
Phone
(617) 274-8734
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Dr. Stephen Rothenberg, PSY.D.NPI 1356443352
Title
President
Phone
(617) 274-8734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 3229 MA Primary

Addresses

Primary practice location

10 Newbury St # 4
Boston, MA 02116-3204

Mailing address

PO Box 170809
Boston, MA 02117-1039
Phone (617) 274-8734

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Braincoach@hush.com Direct
Direct Messaging Address braincoach@hush.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210526000982 MA Part B Supplier - Clinic/Group Practice 2567861461 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA

National Provider Directory

National Provider Directory

Locations

5 Edgell Rd
Ste 31
Framingham, MA 01701
Phone (508) 875-4952

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1750589453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170809",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021171039",
            "telephone_number": "617-274-8734",
            "fax_number": "617-507-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 NEWBURY ST # 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163204",
            "telephone_number": "617-274-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN ROTHENBERG,PSY.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "ROTHENBERG",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-274-8734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Braincoach@hush.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "75 Arlington St Ste 500",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021163986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "braincoach@hush.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "encrypted",
            "address_1": "10 Newbury St # 4",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021163204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.