Sumio Shinohara, PSYD - Medicare Psychologist in Cambridge, MA

Sumio Shinohara, PSYD is a medicare enrolled "Psychologist" provider in Cambridge, Massachusetts. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Thrive Counseling Llc, Nova Psychiatric Services, P.c and his current practice location is 872 Massachusetts Ave., Ste. 2-2, 2-7, Cambridge, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 395-5806.

Sumio Shinohara is licensed to practice in Massachusetts (license number 8645) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457401564.

Contact Information

Sumio Shinohara, PSYD
872 Massachusetts Ave., Ste. 2-2, 2-7,
Cambridge, MA 02139
(617) 395-5806
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSumio Shinohara
GenderMale
SpecialityClinical Psychologist
Experience20 Years
Location872 Massachusetts Ave., Cambridge, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sumio Shinohara graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1457401564
  • Provider Enumeration Date: 01/11/2007
  • Last Update Date: 03/03/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4082740139
  • Enrollment ID: I20100424000005

Medical Identifiers

Medical identifiers for Sumio Shinohara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457401564NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 8645 (Massachusetts)Secondary
103T00000XPsychologist 8645 (Massachusetts)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thrive Counseling Llc0749458420848
Nova Psychiatric Services, P.c418352488726

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sumio Shinohara allows following entities to bill medicare on his behalf.
Entity NameNova Psychiatric Services, P.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881782522
PECOS PAC ID: 4183524887
Enrollment ID: O20040109000776
Entity NamePatriot Behavioral Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518085968
PECOS PAC ID: 6901878297
Enrollment ID: O20040811001416
Entity NameThrive Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20110725000191

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sumio Shinohara is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sumio Shinohara, PSYD
1000 Jefferson St., Ste. 2c,
Lynchburg, VA 24504

Ph: (617) 379-0496
Sumio Shinohara, PSYD
872 Massachusetts Ave., Ste. 2-2, 2-7,
Cambridge, MA 02139

Ph: (617) 395-5806

Reviews and Comments


Psychologist in Cambridge, MA

Aliza C Yarrow, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 10 Concord Ave, Cambridge, MA 02138
Phone: 617-209-7979    Fax: 617-812-0459
Annemarie Baldauf, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1208 Massachusetts Ave Ste 7, Cambridge, MA 02138
Phone: 617-958-8387    Fax: 617-830-7237
Dr. Michaela Mendelsohn, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1675 Massachusetts Ave, 2nd Floor, Cambridge, MA 02138
Phone: 617-429-3523    
Dr. Jennifer Jamieson Bortle, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1218 Massachusetts Ave, Cambridge, MA 02138
Phone: 857-540-9882    
Dr. Rita K. Teusch, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 129 Mount Auburn St, Cambridge, MA 02138
Phone: 617-354-2216    
Dr. Camille M Dibenedetto, PSYD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 49 Hancock St, Suite 205, Cambridge, MA 02139
Phone: 617-492-8775    Fax: 617-924-1027
Angela E Radan, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 119 Windsor St, Cambridge, MA 02139
Phone: 617-665-3925    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.