Active NPI
Lee Geltman, MA IN CLINICAL PSYCH
- Psychologist
- Somerville, MA
National Provider Identifier
1891849345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 623
- Practice address
- 240 A Elm St.
Journey Women
Somerville, MA 02144 - Phone
- (617) 764-2009
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 623 | MA | Primary |
Addresses
Primary practice location
240 A Elm St.
Journey Women
Somerville, MA 02144
Mailing address
80 Winslow Avenue
Unit 2E
Somerville, MA 02144-2556
Phone (617) 764-2009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GEW01122 | Other | MA | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 623 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gestalt Institute of New England Inc | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Somerville, MA
- NPI 1023155306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224806400000",
"number": "1891849345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 WINSLOW AVENUE",
"address_2": "UNIT 2E",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442556",
"telephone_number": "617-764-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 A ELM ST.",
"address_2": "JOURNEY WOMEN",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02144",
"telephone_number": "617-764-2009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELTMAN",
"first_name": "LEE",
"name_prefix": "Mr.",
"credential": "MA IN CLINICAL PSYCH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2008-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "623",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "GEW01122",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.