Active NPI
Alexis E Hunt, PSYD
- Clinical Psychologist
- Bedford, MA
National Provider Identifier
1821165184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9705
- Practice address
- 200 Great Rd Ste 254a
Bedford, MA 01730-2718 - Phone
- (781) 342-0545
- Fax
- (781) 394-5878
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY23231 | CA | |
| Clinical Psychologist | 103TC0700X | 9705 | MA | Primary |
Addresses
Primary practice location
200 Great Rd Ste 254a
Bedford, MA 01730-2718
Mailing address
200 Great Rd Ste 254a
Bedford, MA 01730-2718
Phone (781) 342-0545
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY23231 | CA | MD | Clinical Psychologist |
| 9705 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1821165184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GREAT RD STE 254A",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017302718",
"telephone_number": "781-342-0545",
"fax_number": "781-394-5878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GREAT RD STE 254A",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017302718",
"telephone_number": "781-342-0545",
"fax_number": "781-394-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "ALEXIS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2022-02-04",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY23231",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.