Active NPI
Kenneth Allen Chase, PH.D.
- Clinical Psychologist
- Arlington, MA
National Provider Identifier
1891866968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7801
- Practice address
- 7 Court St
Arlington, MA 02476-4803 - Phone
- (781) 483-3366
- NPI assigned
- Nov 12, 2006
- Sex
- Male
- 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 | 7801 | MA | Primary |
Addresses
Primary practice location
7 Court St
Arlington, MA 02476-4803
Mailing address
7 Court St
Arlington, MA 02476-4803
Phone (781) 483-3366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70010000W06042 | 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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7801 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1891866968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 COURT ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764803",
"telephone_number": "781-483-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 COURT ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764803",
"telephone_number": "781-483-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "KENNETH",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-12",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "70010000W06042",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.