T Psychological Services Professional LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

T PSYCHOLOGICAL SERVICES PROFESSIONAL LLC

Practice address

305 Avalon Dr
Bedford, MA 01730-2067

Phone

(857) 201-0170

NPI assigned

Oct 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Karl J Toews, PH.D.NPI 1336228899

Title

Psychologist

Phone

(857) 201-0170

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karl J Toews, PH.D.

  • Clinical Psychologist
  • Bedford, MA
  • NPI 1336228899
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1114524337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 AVALON DR",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302067",
            "telephone_number": "857-201-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 AVALON DR",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017302067",
            "telephone_number": "857-201-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T PSYCHOLOGICAL SERVICES PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "TOEWS",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "857-201-0170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Sutera, M.S. CCC-SLP
• Juliann Sutherland, LMHC
• Patricia Jeannette Sweeney, PSY.D.
• Shamsun Naher Syed
• Synergy Practice Group PLLC
• Philip Tah
• Annabelle Tang, LCSW
• Meaghan Tarashuk, LCSW
• Andrew R Tarasuk, LICSW
• Angela Taveira-Dick, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.