Active NPI
Catherine Tellides Jaffee, PH.D.
- Clinical Psychologist
- Lexington, MA
National Provider Identifier
1023324605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9218
- Practice address
- 33 Bedford St
Suite 11
Lexington, MA 02420-4319 - Phone
- (978) 514-0960
- Fax
- (978) 582-1434
- NPI assigned
- Aug 20, 2010
- Last updated
- Apr 1, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9218 | MA | Primary |
Addresses
Primary practice location
33 Bedford St
Suite 11
Lexington, MA 02420-4319
Mailing address
33 Bedford St
Suite 11
Lexington, MA 02420-4319
Phone (978) 514-0960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 19, 2023 through Jun 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9218 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301616000000",
"number": "1023324605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 BEDFORD ST",
"address_2": "SUITE 11",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024204319",
"telephone_number": "978-514-0960",
"fax_number": "978-582-1434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 BEDFORD ST",
"address_2": "SUITE 11",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024204319",
"telephone_number": "978-514-0960",
"fax_number": "978-582-1434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFEE",
"first_name": "CATHERINE",
"middle_name": "TELLIDES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2011-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.