Stephanie Beukema

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6375 Issued in MA

Practice address

3 Concord Ave
Suite #1
Cambridge, MA 02138-3627

Phone

(617) 576-0854

Fax

(617) 864-5548

NPI assigned

May 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Donald Wexler MD Inc

  • Psychiatry Physician
  • Cambridge, MA
  • NPI 1952420887
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881806131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CONCORD AVE",
            "address_2": "SUITE #1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383627",
            "telephone_number": "617-576-0854",
            "fax_number": "617-864-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CONCORD AVE",
            "address_2": "SUITE #1",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383627",
            "telephone_number": "617-576-0854",
            "fax_number": "617-864-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUKEMA",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN ID",
            "identifier": "380423",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NATIONAL ID NUMBER",
            "identifier": "W05102",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth R Hardiman, M.D.
• Monica Betjemann, CPNP-PC
• Susan Betjemann, LICSW
• Kristen E. Bettencourt, PSYD
• Nicole Bettinelli, LCSW
• Grace Bogdan Beuley
• Jonas William Beymer
• Sangeeta Narain Bhatia, MD
• Padmanabh Shrikant Bhatt, MD
• Safah Samir Bhatti

• Clinical Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Psychologist in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.