Active NPI
Donald Joseph Bermont, PH.D.
- Psychologist
- Lowell, MA
National Provider Identifier
1912913534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2448
- Practice address
- 77 E Merrimack St
#23
Lowell, MA 01852-1251 - Phone
- (978) 452-3711
- Fax
- (978) 441-9351
- NPI assigned
- Aug 1, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2448 | MA | Primary |
Addresses
Primary practice location
77 E Merrimack St
#23
Lowell, MA 01852-1251
Mailing address
5 Erie Ave
Newton Highlands, MA 02461-1513
Phone (617) 964-4371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0508489 | Medicaid | MA |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2448 | MA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912913534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 ERIE AVE",
"city": "NEWTON HIGHLANDS",
"state": "MA",
"postal_code": "024611513",
"telephone_number": "617-964-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 E MERRIMACK ST",
"address_2": "#23",
"city": "LOWELL",
"state": "MA",
"postal_code": "018521251",
"telephone_number": "978-452-3711",
"fax_number": "978-441-9351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMONT",
"first_name": "DONALD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "2448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0508489",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lowell, 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.