Individual provider Active NPI

Rhoda Claire Kupferberg Joss, PSY.D.

  • Clinical Psychologist
  • Carlisle, MA
National Provider Identifier
1922219062
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7823 Issued in MA
Practice address
810 Concord St
Carlisle, MA 01741-1523
Phone
(781) 765-7456
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7823 MA
Cognitive & Behavioral Psychologist 103TB0200X 7823 MA
Clinical Psychologist 103TC0700X 7823 MA Primary
Health Psychologist 103TH0004X 7823 MA

Addresses

Primary practice location

810 Concord St
Carlisle, MA 01741-1523

Mailing address

810 Concord St
Carlisle, MA 01741-1523
Phone (781) 765-7456

Other identifiers 8

IdentifierTypeStateIssuer
369724OtherMAMHN TRICARE
5506948OtherMAMEGA LIFE HEALTH
1853724MedicaidMA
W06158OtherMAFED BLUECROSSBLUE SHIELD
W06158OtherMABLUE CROSS INDEMNITY
W06158OtherMAANTHEM BLUE CROSS
W06158OtherMAMAGELLAN BLUE CROSS
W06158OtherMABLUE CROSS PPO HMO CHOICE

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

State licenses

LicenseStateTypeSpecialty
7823MAMDHealth Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1922219062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 CONCORD ST",
            "city": "CARLISLE",
            "state": "MA",
            "postal_code": "017411523",
            "telephone_number": "781-765-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 CONCORD ST",
            "city": "CARLISLE",
            "state": "MA",
            "postal_code": "017411523",
            "telephone_number": "781-765-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPFERBERG JOSS",
        "first_name": "RHODA",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7823",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MA",
            "license": "7823",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7823",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MA",
            "license": "7823",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN TRICARE",
            "identifier": "369724",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEGA LIFE HEALTH",
            "identifier": "5506948",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1853724",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BLUECROSSBLUE SHIELD",
            "identifier": "W06158",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDEMNITY",
            "identifier": "W06158",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "W06158",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BLUE CROSS",
            "identifier": "W06158",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PPO HMO CHOICE",
            "identifier": "W06158",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.