Active NPI
Alexander Wheeler, PHD
- Clinical Child & Adolescent Psychologist
- Cambridge, MA
National Provider Identifier
1043738610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 1 Arnold Cir Ste 6
Cambridge, MA 02139-2250 - Phone
- (617) 254-3800
- NPI assigned
- Sep 5, 2017
- Sex
- Male
- 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 Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
1 Arnold Cir Ste 6
Cambridge, MA 02139-2250
Mailing address
1 Arnold Cir Ste 6
Cambridge, MA 02139-2250
Phone (617) 651-1498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 9, 2021 through Aug 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11539 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camberville Associates LLC | Current | Accepting new patients | |
| Judge Baker Children'S Center | Past | Accepting new patients |
Locations
1 Arnold Cir
Ste 6
Cambridge, MA 02139
Phone (617) 254-3800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Cambridge, MA
- NPI 1669268736
-
- Adolescent and Children Mental Health Clinic/Center
- Boston, MA
- NPI 1629559059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1043738610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ARNOLD CIR STE 6",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021392250",
"telephone_number": "617-651-1498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ARNOLD CIR STE 6",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021392250",
"telephone_number": "617-254-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-05",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.