Active NPI
Matthew Duffy, PH.D.
- Clinical Psychologist
- Arlington, MA
National Provider Identifier
1174849483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9132
- Practice address
- 94 Pleasant St Ste 16
Arlington, MA 02476 - Phone
- (781) 646-0649
- NPI assigned
- Apr 12, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9132 | MA | Primary |
Addresses
Primary practice location
94 Pleasant St Ste 16
Arlington, MA 02476
Mailing address
PO Box 400762
Cambridge, MA 02140-0008
Phone (781) 646-0649
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 |
|---|---|---|---|
| 9132 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529712000000",
"number": "1174849483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400762",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021400008",
"telephone_number": "781-646-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 PLEASANT ST STE 16",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "02476",
"telephone_number": "781-646-0649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFY",
"first_name": "MATTHEW",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-12",
"last_updated": "2018-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.