Individual provider Active NPI

Rachel Fox-Weinberg, PHD

  • Clinical Psychologist
  • Chelmsford, MA
National Provider Identifier
1174811426
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9167 Issued in MA
Practice address
321 Billerica Rd Ste 104
Chelmsford, MA 01824-4100
Phone
(781) 646-0500
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X 9167 MA
Health Service Psychologist 103TH0100X 9167 MA
Clinical Psychologist 103TC0700X 9167 MA Primary

Addresses

Primary practice location

321 Billerica Rd Ste 104
Chelmsford, MA 01824-4100

Mailing address

321 Billerica Rd Ste 104
Chelmsford, MA 01824-4100
Phone (781) 646-0500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140624000293 MA Practitioner - Clinical Psychologist 2567686082

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

89 Access Rd
Suite 24
Norwood, MA 02062-5233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
9167MAMDHealth Service Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1174811426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BILLERICA RD STE 104",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244100",
            "telephone_number": "781-646-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BILLERICA RD STE 104",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244100",
            "telephone_number": "781-646-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX-WEINBERG",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MA",
            "license": "9167",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "9167",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.