One provider matched this enrollment ID.
Enrollment ID I20150319001094 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20150319001094Clinical PsychologistMA
Source: CMS PECOS public enrollment file.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 503967MA
Other
- W06322MA· Issued by BCBSMA
- 469454MA· Issued by TUFTS
- 7574626MA· Issued by AETNA
- 339893MA· Issued by MHN
- 043476807-03MA· Issued by PACIFICARE
- 06Y007427MA01NH· Issued by BCBSNH
- 731625000MA· Issued by MAGELLAN
Source: NPPES public registry.
ReferenceAbout Medicare Enrollment IDs
A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.