Active NPI
John A. Beach, M.ED.
- Cognitive & Behavioral Psychologist
- Yarmouth Port, MA
National Provider Identifier
1811104243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 495
- Practice address
- 923 Route 6a
Building 7, 2ND Floor
Yarmouth Port, MA 02675-2159 - Phone
- (508) 362-7692
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 495 | MA | Primary |
| School Psychologist | 103TS0200X | 495 | MA |
Addresses
Primary practice location
923 Route 6a
Building 7, 2ND Floor
Yarmouth Port, MA 02675-2159
Mailing address
923 Route 6a
P.O. Box 524
Yarmouth Port, MA 02675-2159
Phone (508) 362-7692
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 495 | MA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1811104243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 ROUTE 6A",
"address_2": "P.O. BOX 524",
"city": "YARMOUTH PORT",
"state": "MA",
"postal_code": "026752159",
"telephone_number": "508-362-7692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 ROUTE 6A",
"address_2": "BUILDING 7, 2ND FLOOR",
"city": "YARMOUTH PORT",
"state": "MA",
"postal_code": "026752159",
"telephone_number": "508-362-7692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACH",
"first_name": "JOHN",
"middle_name": "A.",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "495",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "495",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yarmouth Port, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.