NPIMap

Organization Active NPI

Hope Psychological Services

  • Clinical Psychologist
  • Lexington, MA
National Provider Identifier
1184818924
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HOPE PSYCHOLOGICAL SERVICES
Practice address
16 Clarke St
Suite 21
Lexington, MA 02421-4988
Phone
(781) 402-2442
Fax
(781) 402-1744
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Charles J. Slagen, PH.D.
Title
Executive Director
Phone
(781) 402-2442

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

16 Clarke St
Suite 21
Lexington, MA 02421-4988

Mailing address

16 Clarke St
Suite 21
Lexington, MA 02421-4988
Phone (781) 402-2442

Other identifiers 1

IdentifierTypeStateIssuer
0005220OtherMAMEDICARE (PTAN) ACTIVEPROVIDER TRANSACTION ACCESS NUMBER

National Provider Directory

National Provider Directory

Locations

16 Clarke St
Lexington, MA 02421
Phone (781) 402-2442

16 Clarke St
Ste 21
Lexington, MA 02421
Phone (781) 402-2442

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1184818924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CLARKE ST",
            "address_2": "SUITE 21",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214988",
            "telephone_number": "781-402-2442",
            "fax_number": "781-402-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CLARKE ST",
            "address_2": "SUITE 21",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214988",
            "telephone_number": "781-402-2442",
            "fax_number": "781-402-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SLAGEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-402-2442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (PTAN) ACTIVEPROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "0005220",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.