Active NPI
Rachel Hendrickson, M.A.
- Psychologist
- Roslindale, MA
National Provider Identifier
1053894667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 780 American Legion Highway
Roslindale, MA 02131 - Phone
- (857) 225-6434
- Fax
- (617) 469-8595
- NPI assigned
- Sep 10, 2018
- Last updated
- Dec 18, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
780 American Legion Highway
Roslindale, MA 02131
Mailing address
35 Crescent Street
Apt 507
Waltham, MA 02453
Phone (786) 376-6984
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
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Counseling Center Inc | Psychologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1053894667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 CRESCENT STREET",
"address_2": "APT 507",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02453",
"telephone_number": "786-376-6984",
"fax_number": "978-927-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 AMERICAN LEGION HIGHWAY",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "02131",
"telephone_number": "857-225-6434",
"fax_number": "617-469-8595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKSON",
"first_name": "RACHEL",
"name_prefix": "Miss",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslindale, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.