NPIMap

Organization Active NPI

Neuropsychology Services, PC

  • Adult Mental Health Clinic/Center
  • Northborough, MA
National Provider Identifier
1205137056
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
8183 Issued in MA
Legal business name
NEUROPSYCHOLOGY SERVICES, PC
Practice address
96 W Main St
Suite B
Northborough, MA 01532-3810
Phone
(508) 393-3820
Fax
(508) 393-3814
NPI assigned
Nov 10, 2010
Last updated
Nov 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Dr. Albert Wallace Deckel, PHDNPI 1487652483
Title
Neuropsychologist
Phone
(508) 393-3820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 8183 MA Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 8183 MA

Addresses

Primary practice location

96 W Main St
Suite B
Northborough, MA 01532-3810

Mailing address

PO Box 605
North Grafton, MA 01536-0605
Phone (508) 393-3820

Other identifiers 1

IdentifierTypeStateIssuer
0522791MedicaidMA

National Provider Directory

National Provider Directory

Locations

96 W Main St
Ste B
Northborough, MA 01532
Phone (508) 393-3820

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1205137056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "NORTH GRAFTON",
            "state": "MA",
            "postal_code": "015360605",
            "telephone_number": "508-393-3820",
            "fax_number": "508-393-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 W MAIN ST",
            "address_2": "SUITE B",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015323810",
            "telephone_number": "508-393-3820",
            "fax_number": "508-393-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "DECKEL",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "508-393-3820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "8183",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MA",
            "license": "8183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0522791",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.