Individual provider Active NPI

Steven Wiley Emmett, REV., PH.D.

  • Psychologist
  • Scituate, MA
National Provider Identifier
1770664112
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2792 Issued in MA
Practice address
36 Tichnor PL
Scituate, MA 02066-3916
Phone
(781) 545-6131
Fax
(781) 545-6131
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2792 MA Primary

Addresses

Primary practice location

36 Tichnor PL
Scituate, MA 02066-3916

Mailing address

36 Tichnor PL
Scituate, MA 02066-3916
Phone (781) 545-6131

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080805000464 MA Practitioner - Clinical Psychologist 0042384356 Practice locations: Hingham, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Boston University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

149 Stayner Dr
Hingham, MA 02043-1664
Phone (781) 556-5461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2792MAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770664112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 TICHNOR PL",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020663916",
            "telephone_number": "781-545-6131",
            "fax_number": "781-545-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 TICHNOR PL",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020663916",
            "telephone_number": "781-545-6131",
            "fax_number": "781-545-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMETT",
        "first_name": "STEVEN",
        "middle_name": "WILEY",
        "name_prefix": "Dr.",
        "credential": "REV., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "2792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scituate, MA

Sources for this page

Verify at the official NPI Registry.