Active NPI
Milton T Jay, ED.D.
- Clinical Neuropsychologist
- Newton, MA
National Provider Identifier
1770729527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 2764
- Practice address
- 211 Bellevue St
Newton, MA 02458-1812 - Phone
- (617) 928-3446
- Fax
- (617) 928-3446
- NPI assigned
- Dec 29, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 2764 | MA | Primary |
| Psychologist | 103T00000X | 2764 | MA | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 2764 | MA |
Addresses
Primary practice location
211 Bellevue St
Newton, MA 02458-1812
Mailing address
211 Bellevue St
Newton, MA 02458-1812
Phone (617) 928-3446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70010000W02874 | Other | MA | BLUE CROSS/BLUE SHIELD |
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 |
|---|---|---|---|
| 2764 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230508800000",
"number": "1770729527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 BELLEVUE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024581812",
"telephone_number": "617-928-3446",
"fax_number": "617-928-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 BELLEVUE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024581812",
"telephone_number": "617-928-3446",
"fax_number": "617-928-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAY",
"first_name": "MILTON",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-29",
"last_updated": "2008-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "2764",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "2764",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "2764",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "70010000W02874",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.