Nadene Deborah Moll, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

7723 Issued in MA

Practice address

33 Lyman St
Suite 202a
Westboro, MA 01581

Phone

(508) 366-7707

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

• Massachusetts Psychotherapy Associates

  • Clinical Psychologist
  • Westborough, MA
  • NPI 1871618827
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235202102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LYMAN STREET",
            "address_2": "SUITE 202A",
            "city": "WESTBORO",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-366-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LYMAN ST",
            "address_2": "SUITE 202A",
            "city": "WESTBORO",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "508-366-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLL",
        "first_name": "NADENE",
        "middle_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1010142",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "408619",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W06268",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Rothman MD
• John Michael Kane, COTA,L
• Sandra V Kristiansen, M.D.
• Stephen Larose, PA-C
• Deborah P Lebeaux, LICSW
• Anthony Gabor Moncton, DC
• Robin A Montague, LICSW
• Kiritkumar Patel, M.D.
• Professional Allergy Assoc
• Martin John Proulx, COTA-L

• All providers in Westboro, MA
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.