Organization Active NPI

Ocean Gem Psychological Care, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Salem, MA
National Provider Identifier
1962990952
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
10665 Issued in MA
Legal business name
OCEAN GEM PSYCHOLOGICAL CARE, PLLC
Practice address
57 Highland Ave FL 4
Salem, MA 01970-2141
Phone
(617) 431-3990
Fax
(978) 740-4902
NPI assigned
Apr 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Dr. Robert Joseph Digiammarino, PSY.D.
Title
Manager
Phone
(617) 431-3990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 10665 MA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 10665 MA Primary

Addresses

Primary practice location

57 Highland Ave FL 4
Salem, MA 01970-2141

Mailing address

57 Highland Ave FL 4
Salem, MA 01970-2141
Phone (617) 431-3990

National Provider Directory

National Provider Directory

Locations

57 Highland Ave
Fl 4
Salem, MA 01970
Phone (978) 354-2650

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1962990952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 HIGHLAND AVE FL 4",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702141",
            "telephone_number": "617-431-3990",
            "fax_number": "978-740-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 HIGHLAND AVE FL 4",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702141",
            "telephone_number": "617-431-3990",
            "fax_number": "978-740-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN GEM PSYCHOLOGICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "DIGIAMMARINO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-431-3990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "10665",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MA",
            "license": "10665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.