Individual provider Active NPI

Cheryl Parmely, ED.D.

  • Psychologist
  • Newton Centre, MA
National Provider Identifier
1104914753
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2003023470 Issued in MO
Practice address
11 Warren Ter
Newton Centre, MA 02459-2060
Phone
(617) 332-0369
Fax
(617) 332-5149
NPI assigned
Oct 10, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1044 KS
Psychologist 103T00000X 2003023470 MO Primary
Health Service Psychologist 103TH0100X 1783 MA

Addresses

Primary practice location

11 Warren Ter
Newton Centre, MA 02459-2060

Mailing address

PO Box 590303
Newton Centre, MA 02459-0003
Phone (617) 332-0369

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

State licenses

LicenseStateTypeSpecialty
1044KSMDMental Health Counselor
2003023470MOMDPsychologist
1783MAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104914753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590303",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024590003",
            "telephone_number": "617-332-0369",
            "fax_number": "617-332-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WARREN TER",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024592060",
            "telephone_number": "617-332-0369",
            "fax_number": "617-332-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMELY",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "1044",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2003023470",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "1783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton Centre, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.