Organization Active NPI

Applied Psychology Systems

  • Clinical Psychologist
  • Waban, MA
National Provider Identifier
1821112798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
APPLIED PSYCHOLOGY SYSTEMS
Practice address
158 Upland Rd
Waban, MA 02468-2005
Phone
(617) 971-3007
NPI assigned
Mar 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bruce Swartz
Title
Treasurer
Phone
(617) 971-3007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

158 Upland Rd
Waban, MA 02468-2005

Mailing address

158 Upland Rd
Waban, MA 02468-2005
Phone (617) 971-3007

Other identifiers 1

IdentifierTypeStateIssuer
1899481MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821112798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 UPLAND RD",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024682005",
            "telephone_number": "617-971-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 UPLAND RD",
            "city": "WABAN",
            "state": "MA",
            "postal_code": "024682005",
            "telephone_number": "617-971-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED PSYCHOLOGY SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWARTZ",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "617-971-3007",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1899481",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waban, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.