Individual provider Active NPI

Marlene Major, ED.D.,RESPECIALIZATI

  • Psychologist
  • Lexington, MA
National Provider Identifier
1275901522
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
76 Bedford St Ste 12
Lexington, MA 02420-4640
Phone
(617) 564-3456
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

76 Bedford St Ste 12
Lexington, MA 02420-4640

Mailing address

76 Bedford St Ste 12
Lexington, MA 02420-4640
Phone (617) 564-3456

Other practice location 1

11 Chapel Pl
Wellesley, MA 02481-3130
Phone (781) 235-4950 ext. 133

Other names 1

  • Dr. Marlene M. Major Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 24, 2024 through Jul 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1275901522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST STE 12",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204640",
            "telephone_number": "617-564-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST STE 12",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204640",
            "telephone_number": "617-564-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Chapel Pl",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024813130",
            "country_code": "US",
            "telephone_number": "781-235-4950 x133",
            "fax_number": "781-235-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAJOR",
        "first_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "ED.D.,RESPECIALIZATI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLENE",
            "last_name": "MAJOR",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "ED.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, MA

Sources for this page

Verify at the official NPI Registry.