Metrowest Neuropsychology, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

METROWEST NEUROPSYCHOLOGY, LLC

Practice address

1900 W Park Dr
Suite 280
Westborough, MA 01581-3942

Phone

(508) 983-1425

Fax

(508) 983-0987

NPI assigned

Sep 19, 2012

Last updated

Sep 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey J Gaines, PH.D.NPI 1396764692

Title

Clinical Director

Phone

(508) 983-1425

Specialties & licenses 2

Addresses

Other names 1

• Metrowest Neuropsychology Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Jay Gaines, PH.D.

  • Clinical Neuropsychologist
  • Worcester, MA
  • NPI 1396764692
  NPD (past) Authorized official
• Katherine Treiber, PH.D.

  • Clinical Psychologist
  • Westborough, MA
  • NPI 1285995373

  Clinical Neuropsychologist

  NPD (past)

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1366792202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W PARK DR",
            "address_2": "SUITE 280",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813942",
            "telephone_number": "508-983-1425",
            "fax_number": "508-983-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W PARK DR",
            "address_2": "SUITE 280",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813942",
            "telephone_number": "508-983-1425",
            "fax_number": "508-983-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROWEST NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "508-983-1425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metrowest Neuropsychology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Metro West Rehab Corp (Whittier Rehabilitation Hospital-Westborough)
• Metro West Rehab Corp (Whittier Rehab Pharmacy)
• Metro West Rehab Corp (Whitter Westborough IRF Unit)
• Metro West Rehab Corp (Whittier Westborough Transitional Care Unit)
• Metrowest Child Assessment, Inc
• Metrowest Neuropsychology, LLC
• Michael J Pryharski DMD PC
• Wendy E. Miles, PH.D
• Christine S Miller, M.S., C.C.C.
• Ronnie Miller, PSY.D.

• Clinical Neuropsychologist in Westborough, MA
• Providers in Westborough, MA by specialty
• Clinical Neuropsychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.