Individual provider Active NPI

Jeffrey Adam Steinbrink, PSYD

  • Clinical Psychologist
  • Cambridge, MA
National Provider Identifier
1992005292
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10357 Issued in MA
Practice address
2464 Massachusetts Avenue
Suite 201
Cambridge, MA 02144
Phone
(617) 714-4058
Fax
(617) 714-4062
NPI assigned
Nov 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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 10357 MA Primary

Addresses

Primary practice location

2464 Massachusetts Avenue
Suite 201
Cambridge, MA 02144

Mailing address

2464 Massachusetts Avenue
Suite 201
Cambridge, MA 02140
Phone (617) 714-4058

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

LicenseStateTypeSpecialty
10357MAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1992005292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2464 MASSACHUSETTS AVENUE",
            "address_2": "SUITE 201",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02140",
            "telephone_number": "617-714-4058",
            "fax_number": "617-714-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 MASSACHUSETTS AVENUE",
            "address_2": "SUITE 201",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02144",
            "telephone_number": "617-714-4058",
            "fax_number": "617-714-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINBRINK",
        "first_name": "JEFFREY",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10357",
            "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 Dec 12, 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.

Verify at the official NPI Registry.