Active NPI
Carolyn Moore Newberger, ED.D.
- Clinical Psychologist
- Brookline, MA
National Provider Identifier
1972730554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2147
- Practice address
- 92 Evans Rd
Brookline, MA 02445-2118 - Phone
- (161) 756-6693
- NPI assigned
- Jun 22, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2147 | MA | |
| Clinical Psychologist | 103TC0700X | 2147 | MA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2147 | MA |
Addresses
Primary practice location
92 Evans Rd
Brookline, MA 02445-2118
Mailing address
92 Evans Rd
Brookline, MA 02445-2118
Phone (161) 756-6693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70010000W03763 | Other | MA | BCBSMA LEGACY NUMBER |
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 |
|---|---|---|---|
| 2147 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1972730554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 EVANS RD",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024452118",
"telephone_number": "161-756-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 EVANS RD",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024452118",
"telephone_number": "161-756-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERGER",
"first_name": "CAROLYN",
"middle_name": "MOORE",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-22",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "2147",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "2147",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "2147",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA LEGACY NUMBER",
"identifier": "70010000W03763",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
- New England Neurodiagnostics
- New England Pharmacy, LLC
- New England Pharmacy, LLC
- New England Spine and Rehab, PC
- New Horizons Medical PC
- Richard Newburg, D.M.D
- Laura Nicole Newcomb, LMHC
- Newton Wellesley Oral Surgery
- Newton-Wellesley Behavioral Medicine & Eating Disorders
- Newton-Wellesley Eating Disorders & Behavioral Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.