Rebecca Ahlfors, LMHC, PSYCHOLOGIST

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9605 Issued in MA

Practice address

40 Southbridge St
Worcester, MA 01608-2039

Phone

(508) 762-3019

Fax

(508) 438-1490

NPI assigned

Aug 1, 2006

Last updated

Jan 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

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.

• Child and Family Psychological Services, PLLC

  dba LifeStance Health

  • Psychologist
  • Norwood, MA
  • NPI 1912987181

  Clinical

  NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1245246834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SOUTHBRIDGE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082039",
            "telephone_number": "508-762-3019",
            "fax_number": "508-438-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SOUTHBRIDGE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082039",
            "telephone_number": "508-762-3019",
            "fax_number": "508-438-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLFORS",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "LMHC, PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "5703",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELOR",
            "identifier": "101Y00000X",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jediah Agyenim-Boateng
• Hannah Ahearn
• Ama O Ahenkorah, FNP
• Elizabeth Marie Aherne, DO
• Lisa Marie Ahlemeyer, PA-C
• Farrukh Ahmad
• Nina Ahmadi Lashkenari, RPH
• Parnian Ahmadi Moghaddam, M.D.
• Habeebunnisa Ahmed, M.D.
• Hanna N. Ahmed, M.D

• Clinical Psychologist in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.