Individual provider Active NPI

Emily Elana Crain, PSY.D.

  • Clinical Psychologist
  • Waltham, MA
National Provider Identifier
1245903632
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10000733 Issued in MA
Practice address
681 Main St Ste 3-39
Waltham, MA 02451-0621
Phone
(774) 314-7519
NPI assigned
Jul 30, 2021
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10000733 MA Primary

Addresses

Primary practice location

681 Main St Ste 3-39
Waltham, MA 02451-0621

Mailing address

681 Main St Ste 3-39
Waltham, MA 02451-0621
Phone (774) 314-7519

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241111003412 MA Practitioner - Clinical Psychologist 7416481627

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Commonwealth of MassachusettsGroup PAC ID 8820906860, shared by 16 NPIs, 141 clinicians

Practice addresses (Care Compare)

365 E St
Tewksbury Hospital
Tewksbury, MA 01876-1998
Phone (978) 851-7321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10000733MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crain Psychological Services LLC Current Accepting new patients
The Commonwealth of Massachusetts CurrentSince Sep 6, 2024 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Sep 6, 2024 Accepting new patients

Locations

365 East St
Tewksbury, MA 01876
Phone (617) 536-2186

681 Main St
Ste 3-39
Waltham, MA 02451
Phone (774) 314-7519

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1245903632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 MAIN ST STE 3-39",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510621",
            "telephone_number": "774-314-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 MAIN ST STE 3-39",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024510621",
            "telephone_number": "774-314-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "EMILY",
        "middle_name": "ELANA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10000733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.