Mary W Humphrey, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8150 Issued in MA

Practice address

258 Main St
Suite 3
Medfield, MA 02052-2041

Phone

(508) 359-2570

Fax

(508) 359-0175

NPI assigned

Mar 29, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Child and Family Psychological Services, PLLC

  dba LifeStance Health

  • Psychologist
  • Norwood, MA
  • NPI 1912987181

  Clinical

  NPD (past)
• Psychological Care Associates, P.C.

  • Clinical Psychologist
  • Woburn, MA
  • NPI 1194770479
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326931200000",
    "number": "1104887298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 MAIN ST",
            "address_2": "SUITE 3",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522041",
            "telephone_number": "508-359-2570",
            "fax_number": "508-359-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MAIN ST",
            "address_2": "SUITE 3",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522041",
            "telephone_number": "508-359-2570",
            "fax_number": "508-359-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "MARY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liane P Helland, NP
• Christine Hender, M.S.
• Martha Anne Henry-Macdonald, PT
• David Hirshfield, D.M.D.
• HSM Behavioral Services, Inc
• Ilana Orelowitz, O.D. Inc
• Katelyn Cashman Jakobsen, MSW
• Caldwell K Jean-Charles
• Jennifer J. Lee, D.M.D., P.C. (West Mill Smiles)
• Jamie Terresa Jerskey-Pena, FNP

• Clinical Psychologist in Medfield, MA
• Providers in Medfield, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.