NPIMap

Individual provider Active NPI

Jacqueline Mellissa Vorpahl, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Medfield, MA
National Provider Identifier
1245417286
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
7426 Issued in MA
Practice address
258 Main St
Suite 3
Medfield, MA 02052-2041
Phone
(508) 242-9666
Fax
(815) 572-8941
NPI assigned
Jan 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 7426 MA Primary

Addresses

Primary practice location

258 Main St
Suite 3
Medfield, MA 02052-2041

Mailing address

258 Main St
Suite 3
Medfield, MA 02052-2041
Phone (508) 242-9666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
General Hospital Corp Current Accepting new patients
Vorpahl Psycholgy Associates, LLC Clinical Child & Adolescent Past Accepting new patients
Wampanoag Tribe of Gay Head Aquinnah Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vorpahl.jacqueline.mgh@direct.partners.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1245417286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 MAIN ST",
            "address_2": "SUITE 3",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522041",
            "telephone_number": "508-242-9666",
            "fax_number": "815-572-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MAIN ST",
            "address_2": "SUITE 3",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522041",
            "telephone_number": "508-242-9666",
            "fax_number": "815-572-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORPAHL",
        "first_name": "JACQUELINE",
        "middle_name": "MELLISSA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "7426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.