Individual provider Active NPI

Beth Hinden, PHD

  • Clinical Psychologist
  • Somerville, MA
National Provider Identifier
1811044555
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7712 Issued in MA
Practice address
61 Roseland St
Somerville, MA 02143-3524
Phone
(617) 354-6270
Fax
(617) 354-6275
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

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
Clinical Psychologist 103TC0700X 7712 MA Primary

Addresses

Primary practice location

61 Roseland St
Somerville, MA 02143-3524

Mailing address

61 Roseland St
Somerville, MA 02143-3524
Phone (617) 354-6270

Other identifiers 2

IdentifierTypeStateIssuer
W06018OtherMABCBS PROVIDER NUMBER
348489OtherMAMAGELLAN PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 24, 2022 through May 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7712MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Mental Health Collective, Inc. Clinical PastSince Jan 5, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811044555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ROSELAND ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433524",
            "telephone_number": "617-354-6270",
            "fax_number": "617-354-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ROSELAND ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433524",
            "telephone_number": "617-354-6270",
            "fax_number": "617-354-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDEN",
        "first_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "W06018",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER NUMBER",
            "identifier": "348489",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

Verify at the official NPI Registry.