Individual provider Active NPI

Mary Walsh Hurley, PH.D.

  • Clinical Psychologist
  • West Newton, MA
National Provider Identifier
1275025959
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1168-PY-PR Issued in MA
Practice address
59 Eliot Ave
West Newton, MA 02465-1708
Phone
(617) 552-8973
NPI assigned
May 30, 2018
Last updated
May 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2018

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 1168-PY-PR MA Primary

Addresses

Primary practice location

59 Eliot Ave
West Newton, MA 02465-1708

Mailing address

59 Eliot Ave
West Newton, MA 02465-1708
Phone (617) 552-8973

Other identifiers 1

IdentifierTypeStateIssuer
1168-PY-PROtherMAMA BOARD OF REGISTRATION IN PSYCHOLOGY

Other names 1

  • Dr. Mary E Walsh Professional name

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1168-PY-PRMAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1275025959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ELIOT AVE",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024651708",
            "telephone_number": "617-552-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ELIOT AVE",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024651708",
            "telephone_number": "617-552-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "MARY",
        "middle_name": "WALSH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "1168-PY-PR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA BOARD OF REGISTRATION IN PSYCHOLOGY",
            "identifier": "1168-PY-PR",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WALSH",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.