Individual provider Active NPI

Sejal Mahesh Patel, PSY.D.

  • Clinical Psychologist
  • Ipswich, MA
National Provider Identifier
1366847956
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10222 Issued in MA
Practice address
42 Market St
Ipswich, MA 01938-2264
Phone
(617) 209-9709
NPI assigned
Oct 26, 2014
Last updated
Apr 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY10222 MA
Clinical Psychologist 103TC0700X PSY10222 MA Primary

Addresses

Primary practice location

42 Market St
Ipswich, MA 01938-2264

Mailing address

42 Market St
Ipswich, MA 01938-2264
Phone (617) 209-9709

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
I20201118001906 MA Practitioner - Clinical Psychologist 8022429398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

169 Libbey Industrial Pkwy
Weymouth, MA 02189-3165

169 Libbey Industrial Pkwy
Weymouth, MA 02189-3189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY10222MAMDPsychologist
10222MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alaya Integrated Health, PLLC Psychologist Current Accepting new patients
Child and Family Psychological Services, PLLC Psychologist CurrentSince Dec 1, 2020 Accepting new patients
Lynn Community Health, Inc. Past Accepting new patients

Locations

225 Friend St
Ste 800
Boston, MA 02114
Phone (617) 618-5770

89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040

169 Libbey Park
Weymouth, MA 02189
Phone (508) 238-7766

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1414281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1366847956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MARKET ST",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382264",
            "telephone_number": "617-209-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MARKET ST",
            "city": "IPSWICH",
            "state": "MA",
            "postal_code": "019382264",
            "telephone_number": "617-209-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SEJAL",
        "middle_name": "MAHESH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-26",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "PSY10222",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY10222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ipswich, MA

Sources for this page

Verify at the official NPI Registry.