Individual provider Active NPI

Seth Alexandre Doolin, PSYD

  • Clinical Neuropsychologist
  • Burlington, MA
National Provider Identifier
1932204377
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
8580 Issued in MA
Practice address
101 Cambridge St Ste 300
Burlington, MA 01803-3768
Phone
(857) 205-3156
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X
Clinical Psychologist 103TC0700X 8580 MA
Intellectual & Developmental Disabilities Psychologist 103TM1800X 8580 MA
Clinical Neuropsychologist 103G00000X 8580 MA Primary

Addresses

Primary practice location

101 Cambridge St Ste 300
Burlington, MA 01803-3768

Mailing address

101 Cambridge St Ste 300
Burlington, MA 01803-3768
Phone (857) 205-3156

Other identifiers 4

IdentifierTypeStateIssuer
1089420OtherMABEACON HEALTH/FALLON
W06582OtherMABLUE CROSS BLUE SHIELD
0584851MedicaidMA
11717963OtherMACAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061108000343 MA Practitioner - Clinical Psychologist 0749287555 Reassigns benefits to 1 organization
Practice locations: Burlington, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duffy Health Center, IncGroup PAC ID 1951211598, 18 clinicians

Practice addresses (Care Compare)

94 Main St
Hyannis, MA 02601-3146
Phone (508) 771-9599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duffy Health Center, Inc CurrentSince Jun 1, 2024 Accepting new patients
Greater Lowell Psychiatric Associates, LLC Clinical PastSince Jul 24, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sdoolin48899@direct.ctc.masshiway.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932204377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE ST STE 300",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033768",
            "telephone_number": "857-205-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CAMBRIDGE ST STE 300",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018033768",
            "telephone_number": "857-205-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLIN",
        "first_name": "SETH",
        "middle_name": "ALEXANDRE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8580",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MA",
            "license": "8580",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "8580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH/FALLON",
            "identifier": "1089420",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W06582",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0584851",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11717963",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.