Charles Wolfson Dba Active Counseling Associates

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3234 Issued in MA

Legal business name

CHARLES WOLFSON DBA ACTIVE COUNSELING ASSOCIATES

Practice address

43 Hopkinton Rd
Westborough, MA 01581-2103

Phone

(508) 366-5909

Fax

(508) 366-5909

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles D. Wolfson, PH.D.NPI 1417025487

Title

Director

Phone

(508) 366-5909

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Charles D. Wolfson, PH.D.

  • Psychologist
  • Westborough, MA
  • NPI 1417025487
  NPD (past) Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213401600000",
    "number": "1194886838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HOPKINTON RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812103",
            "telephone_number": "508-366-5909",
            "fax_number": "508-366-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 HOPKINTON RD",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812103",
            "telephone_number": "508-366-5909",
            "fax_number": "508-366-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES WOLFSON DBA ACTIVE COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-14",
        "status": "A",
        "authorized_official_last_name": "WOLFSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "508-366-5909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "2009",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "3234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1010340",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W10267",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "173930",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Westborough, MA
• Providers in Westborough, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.