Hedy Susan Wald, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4772 Issued in MA

Practice address

4 Frank Leary Way
Randolph, MA 02368

Phone

(781) 424-2711

Fax

(866) 372-7918

NPI assigned

Sep 4, 2006

Reactivated

Aug 18, 2008

Last updated

Aug 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Hedy Wald

  • Clinical Neuropsychologist
  • Randolph, MA
  • NPI 1578725370
  NPD (past) Authorized official
• Newton Wellesley Neurology Associates, P.C.

  • Psychiatry Physician
  • Newton, MA
  • NPI 1487769600
  NPD (past)
• Newton-Wellesley Neurology Associates, P.C.

  • Neurology Physician
  • Newton Lower Falls, MA
  • NPI 1730206491
  NPD (past)

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1275635716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "02067",
            "telephone_number": "781-424-2711",
            "fax_number": "866-372-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FRANK LEARY WAY",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "02368",
            "telephone_number": "781-424-2711",
            "fax_number": "866-372-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALD",
        "first_name": "HEDY",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2008-08-18",
        "deactivation_date": "2008-07-23",
        "reactivation_date": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Clougherty Vlieger
• Margarette Tahira Voyard
• Nhi Vu
• Mallory Katherine Vukovic
• Sandip H Vyas, PT
• Heather Waldron
• Walgreen Co (Rite Aid #10183)
• Walgreen Eastern Co Inc (Walgreens #04535)
• Walk-in MD Clinic (Walk-in MD Urgent Care)
• Allen C. Waltman, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.