Aila Jesse McCutchen, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4956 Issued in MA

Practice address

93 Union Street
Suite 320 the Center for Cognitive Therapy
Newton Centre, MA 02459

Phone

(617) 527-3041

NPI assigned

Dec 7, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1144205741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 UNION ST",
            "address_2": "SUITE 303C",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "024592244",
            "telephone_number": "617-527-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 UNION STREET",
            "address_2": "SUITE 320 THE CENTER FOR COGNITIVE THERAPY",
            "city": "NEWTON CENTRE",
            "state": "MA",
            "postal_code": "02459",
            "telephone_number": "617-527-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEN",
        "first_name": "AILA JESSE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4956",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "987",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "W04740",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0500623",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Mahoney, PA-C
• Katherine D Manners, M.ED, LMFT
• Mantra Mental Health Counseling LLC
• Marisa Mendel MD PLLC
• Scott McCarthy, NP-C
• Merrill Fowler Mead-Fox, PH.D.
• Jenna Mehlhorn
• Joyce Mendel, M.D.
• Marisa Mendel, M.D.
• Mighty Mouths, LLC

• Psychologist in Newton Centre, MA
• Providers in Newton Centre, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.