Active NPI
Stacy Leigh Parkin, PH.D.
- Clinical Psychologist
- Worcester, MA
National Provider Identifier
1053770487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 55972
- Practice address
- 403 Belmont St.
Worcester, MA 01604-1019 - Phone
- (413) 584-4040
- NPI assigned
- Feb 13, 2016
- 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 | 55972 | MS | Primary |
Addresses
Primary practice location
403 Belmont St.
Worcester, MA 01604-1019
Mailing address
32 Cedar St
Milford, MA 01757-1642
Phone (504) 331-5702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55972 | MS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northampton Vamc | Current | Accepting new patients |
Locations
403 Belmont St
Worcester, MA 01604
Phone (508) 425-2500
Organizations & group practices 1
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.
-
- Department of Veterans Affairs (VA) Pharmacy
- Worcester, MA
- NPI 1528354180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1053770487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 CEDAR ST",
"city": "MILFORD",
"state": "MA",
"postal_code": "017571642",
"telephone_number": "504-331-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 BELMONT ST.",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041019",
"telephone_number": "413-584-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKIN",
"first_name": "STACY",
"middle_name": "LEIGH",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-13",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MS",
"license": "55972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.