Active NPI
Marsha Canick, PHD
- School Psychologist
- Newton, MA
National Provider Identifier
1154526234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 152878
- Practice address
- 11 Duncklee St
Newton, MA 02461-1114 - Phone
- (617) 969-1252
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7133 | MA | |
| School Psychologist | 103TS0200X | 152878 | MA | Primary |
Addresses
Primary practice location
11 Duncklee St
Newton, MA 02461-1114
Mailing address
11 Duncklee St
Newton, MA 02461-1114
Phone (617) 969-1252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7133 | MA | MD | Mental Health Counselor |
| 152878 | MA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1154526234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 DUNCKLEE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611114",
"telephone_number": "617-969-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 DUNCKLEE ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611114",
"telephone_number": "617-969-1252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANICK",
"first_name": "MARSHA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7133",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "152878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.