Individual provider Active NPI

Benjamin H.M. Presskreischer, PSY.D., ABPP

  • Clinical Psychologist
  • Newton Center, MA
National Provider Identifier
1841200425
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4501 Issued in MA
Practice address
53 Langley Rd
Suite 350
Newton Center, MA 02459-1913
Phone
(781) 649-5439
Fax
(781) 455-9915
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4501 MA Primary

Addresses

Primary practice location

53 Langley Rd
Suite 350
Newton Center, MA 02459-1913

Mailing address

53 Langley Rd
Suite 350
Newton Center, MA 02459-1913
Phone (781) 649-5439

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4501MAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841200425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 LANGLEY RD",
            "address_2": "SUITE 350",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024591913",
            "telephone_number": "781-649-5439",
            "fax_number": "781-455-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 LANGLEY RD",
            "address_2": "SUITE 350",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024591913",
            "telephone_number": "781-649-5439",
            "fax_number": "781-455-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSKREISCHER",
        "first_name": "BENJAMIN",
        "middle_name": "H.M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D., ABPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Center, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.