Individual provider Active NPI

Peter James Erines, PH.D.

  • Clinical Psychologist
  • Framingham, MA
National Provider Identifier
1972536563
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4709 Issued in MA
Practice address
63 Fountain St Ste 402
Framingham, MA 01702-6280
Phone
(508) 872-4813
Fax
(508) 626-0454
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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 4709 MA Primary

Addresses

Primary practice location

63 Fountain St Ste 402
Framingham, MA 01702-6280

Mailing address

63 Fountain St Ste 402
Framingham, MA 01702-6280
Phone (508) 872-4813

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
I20050504000671 MA Practitioner - Clinical Psychologist 6002856531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeastern Psychiatric AssocGroup PAC ID 4486696614, 15 clinicians
Framingham Psychiatric Care LLCGroup PAC ID 1557792314, 9 clinicians

Practice addresses (Care Compare)

1093 N Main St
Suite 1B
Randolph, MA 02368-2100
Phone (781) 963-7775

1253 Worcester Rd
Suite 404
Framingham, MA 01701-5250
Phone (508) 488-4075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Framingham Psychiatric Care LLC CurrentSince Mar 2, 2020 Accepting new patients
Southeastern Psychiatric Assoc CurrentSince Sep 1, 2011 Accepting new patients

Locations

1253 Worcester Rd
Ste 404
Framingham, MA 01701
Phone (508) 488-4075

1093 N Main St
Ste 1B
Randolph, MA 02368
Phone (781) 963-7775

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1972536563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 FOUNTAIN ST STE 402",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026280",
            "telephone_number": "508-872-4813",
            "fax_number": "508-626-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FOUNTAIN ST STE 402",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017026280",
            "telephone_number": "508-872-4813",
            "fax_number": "508-626-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERINES",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.