Individual provider Active NPI

Kerry Jennifer Eudy, PH.D., J.D.

  • Forensic Psychologist
  • Westborough, MA
National Provider Identifier
1336632413
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
8926 Issued in MA
Practice address
110 Turnpike Rd Ste 308
Westborough, MA 01581-2863
Phone
(617) 909-3101
Fax
(800) 878-7017
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X 8926 MA Primary

Addresses

Primary practice location

110 Turnpike Rd Ste 308
Westborough, MA 01581-2863

Mailing address

110 Turnpike Rd Ste 308
Westborough, MA 01581-2863
Phone (617) 909-3101

Other names 1

  • Dr. Kerry Jennifer Eudy-Helinski Former 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
Juris Doctor, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8926MAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1336632413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TURNPIKE RD STE 308",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812863",
            "telephone_number": "617-909-3101",
            "fax_number": "800-878-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TURNPIKE RD STE 308",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015812863",
            "telephone_number": "617-909-3101",
            "fax_number": "800-878-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUDY",
        "first_name": "KERRY",
        "middle_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PH.D., J.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MA",
            "license": "8926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "EUDY-HELINSKI",
            "middle_name": "JENNIFER",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.