Active NPI
Cynthia Ann Worth, EDD
- Clinical Psychologist
- Newton, MA
National Provider Identifier
1255305587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5074
- Practice address
- 53 Langley Rd
310D
Newton, MA 02459 - Phone
- (617) 630-0642
- Fax
- (617) 630-0642
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5074 | MA | Primary |
Addresses
Primary practice location
53 Langley Rd
310D
Newton, MA 02459
Mailing address
24 Ashfield St
Roslindale, MA 02131
Phone (617) 469-0854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0526827 | Medicaid | MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100921001364 | MA | Practitioner - Clinical Psychologist | 9032235536 | Practice locations: Roslindale, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
24 Ashfield St
Roslindale, MA 02131-1604
Phone (617) 630-0642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255305587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 ASHFIELD ST",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "02131",
"telephone_number": "617-469-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 LANGLEY RD",
"address_2": "310D",
"city": "NEWTON",
"state": "MA",
"postal_code": "02459",
"telephone_number": "617-630-0642",
"fax_number": "617-630-0642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTH",
"first_name": "CYNTHIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "5074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0526827",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- 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.
- 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.