Individual provider Active NPI

Sheila Maher, PHD

  • Clinical Psychologist
  • Cambridge, MA
National Provider Identifier
1114018272
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3511 Issued in MA
Practice address
240 Concord Ave
Suite 2
Cambridge, MA 02138-1337
Phone
(617) 497-9139
Fax
(617) 441-2590
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3511 MA Primary

Addresses

Primary practice location

240 Concord Ave
Suite 2
Cambridge, MA 02138-1337

Mailing address

240 Concord Ave
Suite 2
Cambridge, MA 02138-1337
Phone (617) 497-9139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120508000026 MA Practitioner - Clinical Psychologist 4688836778 Practice locations: Cambridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

240 Concord Ave
Cambridge, MA 02138-1337
Phone (617) 497-9139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114018272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CONCORD AVE",
            "address_2": "SUITE 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381337",
            "telephone_number": "617-497-9139",
            "fax_number": "617-441-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 CONCORD AVE",
            "address_2": "SUITE 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381337",
            "telephone_number": "617-497-9139",
            "fax_number": "617-441-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "SHEILA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.