Individual provider Active NPI

Stephen Alan Amira, PH.D.

  • Clinical Psychologist
  • Brookline, MA
National Provider Identifier
1831262245
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3233 Issued in MA
Practice address
1101 Beacon St
4TH Floor
Brookline, MA 02446-5587
Phone
(617) 527-0693
Fax
(617) 566-1719
NPI assigned
Nov 15, 2006
Last updated
Aug 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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 3233 MA Primary

Addresses

Primary practice location

1101 Beacon St
4TH Floor
Brookline, MA 02446-5587

Mailing address

57 Montvale Rd
Newton Centre, MA 02459-1361
Phone (617) 527-7807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080909000199 MA Practitioner - Clinical Psychologist 8022184480 Practice locations: Newton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Vanderbilt University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Newton, MA 02459
Phone (617) 527-0693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1831262245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MONTVALE RD",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024591361",
            "telephone_number": "617-527-7807",
            "fax_number": "617-566-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BEACON ST",
            "address_2": "4TH FLOOR",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465587",
            "telephone_number": "617-527-0693",
            "fax_number": "617-566-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRA",
        "first_name": "STEPHEN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.