Individual provider Active NPI

Judith Halperin, PSY.D.

  • Clinical Psychologist
  • Lexington, MA
National Provider Identifier
1932258720
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4735 Issued in MA
Practice address
3 Wallis CT
Suite 8a
Lexington, MA 02421-5410
Phone
(781) 863-8073
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4735 MA Primary

Addresses

Primary practice location

3 Wallis CT
Suite 8a
Lexington, MA 02421-5410

Mailing address

12 Outlook Dr
Lexington, MA 02421-6925
Phone (781) 863-8073

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
I20121205000470 MA Practitioner - Clinical Psychologist 6103078704 Reassigns benefits to 1 organization
Practice locations: Belmont, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4735MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The McLean Hospital Corporation Clinical CurrentSince Sep 25, 2012 Accepting new patients

Locations

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

115 Mill St
Stop 131
Belmont, MA 02478
Phone (617) 855-2269

Interoperability endpoints

  • Direct secure messaging: halperin.judith.mcl@direct.partners.masshiway.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932258720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OUTLOOK DR",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024216925",
            "telephone_number": "781-863-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WALLIS CT",
            "address_2": "SUITE 8A",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215410",
            "telephone_number": "781-863-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPERIN",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.