Active NPI
Niti Seth, ED.D.
- Clinical Psychologist
- Cambridge, MA
National Provider Identifier
1972565208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY4954-PR
- Practice address
- 875 Massachusetts Avenue
Suite 24
Cambridge, MA 02139 - Phone
- (614) 642-3586
- Fax
- (617) 489-6925
- NPI assigned
- Apr 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4954 | MA | |
| Clinical Psychologist | 103TC0700X | PY4954-PR | MA | Primary |
Addresses
Primary practice location
875 Massachusetts Avenue
Suite 24
Cambridge, MA 02139
Mailing address
875 Massachusetts Avenue
Suite 24
Cambridge, MA 02139
Phone (614) 642-3586
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4954 | MA | MD | Clinical Psychologist |
| PY4954-PR | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1972565208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 MASSACHUSETTS AVENUE",
"address_2": "SUITE 24",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02139",
"telephone_number": "614-642-3586",
"fax_number": "617-489-6925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 MASSACHUSETTS AVENUE",
"address_2": "SUITE 24",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02139",
"telephone_number": "614-642-3586",
"fax_number": "617-489-6925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETH",
"first_name": "NITI",
"name_prefix": "Ms.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-03",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "4954",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "PY4954-PR",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.