Individual provider Active NPI

Rosemary Kathleen Duffy, PSY.D.

  • Clinical Psychologist
  • North Chelmsford, MA
National Provider Identifier
1033276167
Registry record updated Nov 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7756 Issued in MA
Practice address
73 Princeton St Ste 314
North Chelmsford, MA 01863-1558
Phone
(978) 251-3380
Fax
(978) 251-3308
NPI assigned
Jan 1, 2007
Last updated
Nov 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2012

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 7756 MA Primary

Addresses

Primary practice location

73 Princeton St Ste 314
North Chelmsford, MA 01863-1558

Mailing address

3 Parker Dr
Hudson, NH 03051-3414
Phone (978) 251-3380

Other identifiers 3

IdentifierTypeStateIssuer
457897OtherMATUFTS HEALTH
370738OtherMAMAGELLAN
W05961OtherMABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000214 MA Practitioner - Clinical Psychologist 4486608882 Practice locations: N Chelmsford, MA; Salem, MA; Reading, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16 Ocean View Ter
Lynn, MA 01902-3216

16 Ocean View Terrace
Lynn, MA 01902-3216

73 Princeton St
Suite 314
N Chelmsford, MA 01863-1559
Phone (978) 251-3380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7756MAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353715200000",
    "number": "1033276167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PARKER DR",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030513414",
            "telephone_number": "978-251-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PRINCETON ST STE 314",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018631558",
            "telephone_number": "978-251-3380",
            "fax_number": "978-251-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "ROSEMARY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2012-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH",
            "identifier": "457897",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "370738",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "W05961",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.