Active NPI
Emily Joyce Wingate
- School Psychologist
- Woburn, MA
National Provider Identifier
1083397707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 88 Montvale Ave
Woburn, MA 01801-3658 - Phone
- (240) 449-5688
- NPI assigned
- Aug 9, 2023
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
88 Montvale Ave
Woburn, MA 01801-3658
Mailing address
20 Mossland St # 3
Somerville, MA 02144-3207
Phone (240) 449-5688
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1083397707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MOSSLAND ST # 3",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021443207",
"telephone_number": "240-449-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 MONTVALE AVE",
"city": "WOBURN",
"state": "MA",
"postal_code": "018013658",
"telephone_number": "240-449-5688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGATE",
"first_name": "EMILY",
"middle_name": "JOYCE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.