NPIMap

Organization Active NPI

Jason Oppenheim, PSYD

  • Clinical Psychologist
  • Cambridge, MA
National Provider Identifier
1801132337
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1274 Issued in NH
Legal business name
JASON OPPENHEIM, PSYD
Practice address
22 Hilliard St
Cambridge, MA 02138
Phone
(617) 863-0747
Fax
(617) 860-2287
NPI assigned
Jan 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Dr. Jason Philip Oppenheim, PSY.D.NPI 1851549539
Title
Owner
Phone
(617) 863-0747

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 1274 NH Primary

Addresses

Primary practice location

22 Hilliard St
Cambridge, MA 02138

Mailing address

PO Box 382409
Cambridge, MA 02238-2409
Phone (617) 863-0747

Other practice location 1

406 The Hl
Portsmouth, NH 03801-3736
Phone (617) 863-0747

Other practice location 2

22 Hilliard St
Cambridge, MA 02138
Phone (617) 863-0747

National Provider Directory

National Provider Directory

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": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1801132337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382409",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "022382409",
            "telephone_number": "617-863-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HILLIARD ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02138",
            "telephone_number": "617-863-0747",
            "fax_number": "617-860-2287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 The Hl",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038013736",
            "country_code": "US",
            "telephone_number": "617-863-0747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Hilliard St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "02138",
            "country_code": "US",
            "telephone_number": "617-863-0747",
            "fax_number": "617-860-2287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JASON OPPENHEIM, PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIM",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-863-0747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1274",
            "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 Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.