NPIMap

Organization Active NPI

Norma L. Medway, Psy.D.PC

  • Psychologist
  • Worcester, MA
National Provider Identifier
1124176797
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7535 Issued in MA
Legal business name
NORMA L. MEDWAY, PSY.D.PC
Practice address
20 Park Ave
Worcester, MA 01605-3911
Phone
(508) 753-0358
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Norma Lorraine Medway, PSY.D.NPI 1760576276
Title
Psychologist
Phone
(508) 753-0358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 7535 MA Primary

Addresses

Primary practice location

20 Park Ave
Worcester, MA 01605-3911

Mailing address

20 Park Ave
Worcester, MA 01605-3911
Phone (508) 753-0358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130402000388 MA Part B Supplier - Clinic/Group Practice 6507001179 Receives reassigned benefits from 1 practitioner
Practice locations: Worcester, MA

National Provider Directory

National Provider Directory

Locations

130 Elm St
Ste 100
Worcester, MA 01609
Phone (508) 753-0358

20 Park Ave
Worcester, MA 01605
Phone (508) 753-0358

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124176797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053911",
            "telephone_number": "508-753-0358",
            "fax_number": "508-753-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053911",
            "telephone_number": "508-753-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA L. MEDWAY, PSY.D.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDWAY",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "508-753-0358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.