Active NPI
Emily Elizabeth Wheeler
- Psychologist
- Somerville, MA
National Provider Identifier
1306130018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 10879
- Practice address
- 259 Elm St Ste 201
Somerville, MA 02144 - Phone
- (617) 354-4450
- NPI assigned
- May 31, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 10879 | MA | Primary |
Addresses
Primary practice location
259 Elm St Ste 201
Somerville, MA 02144
Mailing address
259 Elm St Ste 201
Somerville, MA 02144-2950
Phone (617) 354-4450
Other practice location 1
58 Old Colony Ave
South Boston, MA 02127-2406
Phone (617) 268-1700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10879 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Connecticut, P.C. | Past | Accepting new patients | |
| Optum Behavioral Care of Connecticut, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counseling Psychologist
- Boston, MA
- NPI 1235811787
-
- Clinical Social Worker
- Providence, RI
- NPI 1730972944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1306130018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 ELM ST STE 201",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442950",
"telephone_number": "617-354-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 ELM ST STE 201",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "02144",
"telephone_number": "617-354-4450"
}
],
"practiceLocations": [
{
"address_1": "58 Old Colony Ave",
"address_purpose": "LOCATION",
"city": "South Boston",
"state": "MA",
"postal_code": "021272406",
"country_code": "US",
"telephone_number": "617-268-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "EMILY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "10879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.