Individual provider Active NPI

Madison White, PSY.D.

  • Clinical Psychologist
  • Salem, MA
National Provider Identifier
1285235440
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11475 Issued in MA
Practice address
55 Highland Ave Ste 201
Salem, MA 01970-2100
Phone
(978) 825-6620
NPI assigned
Nov 4, 2020
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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 11475 MA Primary

Addresses

Primary practice location

55 Highland Ave Ste 201
Salem, MA 01970-2100

Mailing address

55 Highland Ave Ste 201
Salem, MA 01970-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pathology Partners, P.C. Current Accepting new patients
North Shore Medical Center, Inc. CurrentSince May 21, 2021 Accepting new patients
MSW Psychological Associates Current Accepting new patients
North Shore Medical Center, Inc. CurrentSince May 21, 2021 Accepting new patients
Child and Family Psychological Services, PLLC Mental Health CurrentSince Aug 2, 2021 Accepting new patients

Locations

867 Boylston St
Fl 5
Boston, MA 02116
Phone (617) 221-3202

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

55 Highland Ave
Ste 201
Salem, MA 01970
Phone (978) 745-6601

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Organizations & group practices 5

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": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1285235440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE STE 201",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE STE 201",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100",
            "telephone_number": "978-825-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MADISON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.