Paul Glen McCormick, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4192 Issued in MA

Practice address

271 Main St
Suite 205
Stoneham, MA 02180-3591

Phone

(781) 438-5550

Fax

(781) 438-5553

NPI assigned

Nov 20, 2006

Last updated

Nov 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Paul Glen McCormick Professional name

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

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Well-Being, Incorporated

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  • NPI 1205002045
  Medicare reassignment NPD Authorized official
• Anthony Annunziata, PHD, LLC

  dba Anthony Annunziata

  • Clinical Psychologist
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  • NPI 1699239152
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1215001680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 MAIN ST",
            "address_2": "SUITE 205",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803591",
            "telephone_number": "781-438-5550",
            "fax_number": "781-438-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MAIN ST",
            "address_2": "SUITE 205",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803591",
            "telephone_number": "781-438-5550",
            "fax_number": "781-438-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "PAUL",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1899236",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "MCCORMICK",
            "middle_name": "GLEN",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marik Counseling, LLC
• Mary L Marino, HA179
• Jacqueline Elyse Marong, NP
• Andrew Joseph Mastrangelo, PT, DPT, NREMT
• Chantal Dolly McCarron, O.D.
• Matthew J McDonald, PA-C
• Patricia McGinnis
• Megan McGowan
• Anne McGrath
• Audrey Davis McGrath, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.