Individual provider Active NPI

Marjorie Grace Welsh, PSY.D.

  • Clinical Psychologist
  • Plymouth, MA
National Provider Identifier
1366770521
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9121 Issued in MA
Practice address
78 Elliot LN
Plymouth, MA 02360-2186
Phone
(508) 224-7540
NPI assigned
Nov 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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 9121 MA Primary

Addresses

Primary practice location

78 Elliot LN
Plymouth, MA 02360-2186

Mailing address

78 Elliot LN
Plymouth, MA 02360-2186
Phone (508) 224-7540

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
I20100222000244 MA Practitioner - Clinical Psychologist 3274677729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Commonwealth of MassachusettsGroup PAC ID 8820906860, 141 clinicians

Practice addresses (Care Compare)

20 Tremont St
Suite 29
Duxbury, MA 02332-5315
Phone (508) 989-6859

60 Hodges Ave Ext
P O Box 4007
Taunton, MA 02780-3034
Phone (508) 977-3134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9121MAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Commonwealth of Massachusetts CurrentSince Jul 6, 2010 Accepting new patients
The Commonwealth of Massachusetts CurrentSince Jul 6, 2010 Accepting new patients
Marjorie G. Welsh, LLC. Clinical CurrentSince Sep 7, 2012 Accepting new patients

Locations

20 Tremont St
Ste 29
Duxbury, MA 02332
Phone (508) 989-6859

20 Tremont St
Ste 31
Duxbury, MA 02332
Phone (339) 499-8464

60 Hodges Ave
Taunton, MA 02780
Phone (508) 977-3134

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1366770521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 ELLIOT LN",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602186",
            "telephone_number": "508-224-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 ELLIOT LN",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602186",
            "telephone_number": "508-224-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "MARJORIE",
        "middle_name": "GRACE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.