Active NPI
Rosalind V Kearney, PSYD
- Psychologist
- Cambridge, MA
National Provider Identifier
1922071901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6121
- Practice address
- 15 Story St
# 4
Cambridge, MA 02138-4950 - Phone
- (617) 491-5685
- Fax
- (781) 605-1932
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- 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 | 6121 | MA | Primary |
Addresses
Primary practice location
15 Story St
# 4
Cambridge, MA 02138-4950
Mailing address
PO Box 382363
Cambridge, MA 02238-2363
Phone (617) 491-5685
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 249037 | Other | MA | VALUE OPTIONS |
| 0501077 | Medicaid | MA | |
| 724832 | Other | MA | TUFTS |
| 9102715 | Other | MA | PHCS |
| 403-8964-4 | Other | MA | HUGHP |
| W04909 | Other | MA | BCBS 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1922071901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 382363",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "022382363",
"telephone_number": "617-491-5685",
"fax_number": "781-605-1932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 STORY ST",
"address_2": "# 4",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384950",
"telephone_number": "617-491-5685",
"fax_number": "781-605-1932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "ROSALIND",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "6121",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "249037",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0501077",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "724832",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9102715",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUGHP",
"identifier": "403-8964-4",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "W04909",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.