Active NPIIndividual providerSole proprietor

Dr. Judith A Bevis, PHD

Psychologist, Clinical in Marblehead, Massachusetts

NPI Number1194792226
Practice location
40 South St, Suite 201, Marblehead, MA 01945-3282
Fax
—
Last updated
April 1, 2016

Judith Anne Bevis is a Psychologist, Clinical based in Marblehead, MA. Judith Anne Bevis practices in Marblehead, MA and has the professional credentials of PHD. The NPI Number for Judith Anne Bevis is 1194792226 and holds a License No. 4250 (MA). The current practice location address for Judith Anne Bevis is 40 South St, Suite 201, Marblehead, MA 01945-3282 and can be reached out via phone at 781-599-6582.

Provider Profile Details

NPI Number
1194792226
Provider Name
Judith Anne Bevis
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
40 South St, Suite 201, Marblehead, MA 01945-3282
Phone Number
781-599-6582
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 7, 2006
Last Update Date
April 1, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 South St
Suite 201
Marblehead, MA 01945-3282
Zip
01945-3282
Phone Number
781-599-6582
Marblehead, MA 01945Get directions →

Provider Business Mailing Address Details

Address
40 South St
Suite 201
Marblehead, MA 01945-3282
City
Marblehead
State
MA
Zip
01945-3282
Phone Number
781-599-6582

License Information

License Number (1)
4250
License State (1)
MA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
4250
License State (2)
MA
Taxonomy (2)
Clinical Neuropsychologist · 103G00000X
License Number (3)
4250
License State (3)
MA

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Judith A Bevis, PHD?

The NPI number of Dr. Judith A Bevis, PHD is 1194792226. It was assigned on March 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Judith A Bevis, PHD?

Dr. Judith A Bevis, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 4250.

Where does Dr. Judith A Bevis, PHD practice?

The practice location is 40 South St, Suite 201, Marblehead, MA 01945-3282. The office can be reached at 781-599-6582 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194792226 directly on the NPPES registry website.

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