Jeff Eagle, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1831 Issued in MA

Practice address

42 Natka Dr
Centerville, MA 02632-2710

Phone

(508) 420-1291

NPI assigned

Nov 19, 2015

Sex

Male

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)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1114391745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 539",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026320539",
            "telephone_number": "508-420-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 NATKA DR",
            "city": "CENTERVILLE",
            "state": "MA",
            "postal_code": "026322710",
            "telephone_number": "508-420-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLE",
        "first_name": "JEFF",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "1831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Dranetz
• Kaitlin Driscoll, FNP
• Stephanie Dufresne, M.ED
• Therese M. Dupree, P.T.A.
• Jeffrey F Dwyer, DDS
• Sharon Engler
• Heather Kate Escandel, LMHC
• Patrick A Falco
• Susan Ellen Gaughan, NP
• James Millard Girard

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.