Individual provider Active NPI

Deborah Eve Wolozin, PHD

  • Clinical Psychologist
  • Natick, MA
National Provider Identifier
1053337477
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7448 Issued in MA
Practice address
99 E Central St
Natick, MA 01760-3647
Phone
(508) 653-6170
Fax
(508) 653-7700
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 7448 MA Primary

Addresses

Primary practice location

99 E Central St
Natick, MA 01760-3647

Mailing address

99 E Central St
Natick, MA 01760-3647
Phone (508) 653-6170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 16, 2021 through Dec 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7448MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053337477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E CENTRAL ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603647",
            "telephone_number": "508-653-6170",
            "fax_number": "508-653-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E CENTRAL ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603647",
            "telephone_number": "508-653-6170",
            "fax_number": "508-653-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOZIN",
        "first_name": "DEBORAH",
        "middle_name": "EVE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.