Active NPI
SBSC Inc.
- Clinical Psychologist
- Newton, MA
National Provider Identifier
1780635359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- SBSC INC.
- Practice address
- 246 Walnut St
Suite 104
Newton, MA 02460-1689 - Phone
- (617) 244-3322
- Fax
- (617) 244-1827
- NPI assigned
- May 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Nager
- Title
- President/Ceo
- Phone
- (617) 244-3322
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Social Worker | 1041C0700X | |||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | |||
| Psychiatry Physician | 2084P0800X | |||
| Nurse Practitioner | 363L00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
246 Walnut St
Suite 104
Newton, MA 02460-1689
Mailing address
246 Walnut St
Suite 104
Newton, MA 02460-1689
Phone (617) 244-3322
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M19119 | Other | MA | BLUE CROSS AND BLUE SHIEL |
| 9765051 | Medicaid | MA | |
| DF1155 | Other | MA | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
200 Lancaster St
Portland, ME 04101
Phone (207) 772-2133
140 Epping Rd
Exeter, NH 03833
Phone (339) 777-5446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302739200000",
"number": "1780635359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 WALNUT ST",
"address_2": "SUITE 104",
"city": "NEWTON",
"state": "MA",
"postal_code": "024601689",
"telephone_number": "617-244-3322",
"fax_number": "617-581-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 WALNUT ST",
"address_2": "SUITE 104",
"city": "NEWTON",
"state": "MA",
"postal_code": "024601689",
"telephone_number": "617-244-3322",
"fax_number": "617-244-1827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SBSC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2011-04-14",
"status": "A",
"authorized_official_last_name": "NAGER",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "617-244-3322"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "M19119",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9765051",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DF1155",
"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 Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.