Individual provider Active NPI

Ingrid E Raab, PSY.D.

  • Health Service Psychologist
  • Wellesley, MA
National Provider Identifier
1366487068
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
7342 Issued in MA
Practice address
572 Washington St
Suite 1 -3
Wellesley, MA 02482-6418
Phone
(781) 237-0909
Fax
(781) 772-1152
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7342 MA
Cognitive & Behavioral Psychologist 103TB0200X 7342 MA
Clinical Child & Adolescent Psychologist 103TC2200X 7342 MA
Psychologist 103T00000X 7342 MA
Marriage & Family Therapist 106H00000X 7342 MA
Exercise & Sports Psychologist 103TE1100X 7342 MA
Addiction (Substance Use Disorder) Psychologist 103TA0400X 7342 MA
Adult Development & Aging Psychologist 103TA0700X 7342 MA
Health Service Psychologist 103TH0100X 7342 MA Primary

Addresses

Primary practice location

572 Washington St
Suite 1 -3
Wellesley, MA 02482-6418

Mailing address

10 W Riding St
Wellesley, MA 02482-6931
Phone (781) 237-0909

Other identifiers 2

IdentifierTypeStateIssuer
0527025MedicaidMA
7529313OtherMAA ETNAUS HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000489 MA Practitioner - Clinical Psychologist 0143359703 Practice locations: Stockbridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

PO Box
Suite 31
Stockbridge, MA 01262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7342MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1366487068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W RIDING ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826931",
            "telephone_number": "781-237-0909",
            "fax_number": "781-772-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 WASHINGTON ST",
            "address_2": "SUITE 1 -3",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826418",
            "telephone_number": "781-237-0909",
            "fax_number": "781-772-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAAB",
        "first_name": "INGRID",
        "middle_name": "E",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7342",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MA",
            "license": "7342",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "7342",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7342",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "7342",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "MA",
            "license": "7342",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "7342",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "MA",
            "license": "7342",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "7342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0527025",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "A ETNAUS HEALTHCARE",
            "identifier": "7529313",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.