Active NPI
Amy Ann Sweigenberg, PSYD
- Clinical Psychologist
- Brookline, MA
National Provider Identifier
1962412833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4758
- Practice address
- 1419 Beacon St
Suite #14
Brookline, MA 02446-4808 - Phone
- (617) 734-4883
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4758 | MA | Primary |
Addresses
Primary practice location
1419 Beacon St
Suite #14
Brookline, MA 02446-4808
Mailing address
1419 Beacon St
Suite #14
Brookline, MA 02446-4808
Phone (617) 734-4883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W04574 | Other | MA | BLUE CROSS BLUE SHIELD |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Hospital Corp | Current | Accepting new patients |
Interoperability endpoints
- sweigenberg.amy.mgh@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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962412833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 BEACON ST",
"address_2": "SUITE #14",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464808",
"telephone_number": "617-734-4883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 BEACON ST",
"address_2": "SUITE #14",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464808",
"telephone_number": "617-734-4883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEIGENBERG",
"first_name": "AMY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "4758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W04574",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, 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.