Active NPI
Heather M Ensworth, HEATHER ENSWORTH
- Clinical Psychologist
- Beverly, MA
National Provider Identifier
1831420728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6829
- Practice address
- 100 Cummings Ctr
431J
Beverly, MA 01915-6115 - Phone
- (978) 922-6661
- NPI assigned
- Jan 18, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6829 | MA | Primary |
Addresses
Primary practice location
100 Cummings Ctr
431J
Beverly, MA 01915-6115
Mailing address
PO Box 2116
South Hamilton, MA 01982-0116
Phone (978) 468-2021
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 |
|---|---|---|---|
| 6829 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263772800000",
"number": "1831420728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2116",
"city": "SOUTH HAMILTON",
"state": "MA",
"postal_code": "019820116",
"telephone_number": "978-468-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CUMMINGS CTR",
"address_2": "431J",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156115",
"telephone_number": "978-922-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENSWORTH",
"first_name": "HEATHER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "HEATHER ENSWORTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-18",
"last_updated": "2010-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.