Active NPI
Winfred J Hentschel, ED.D.
- Psychologist
- Cambridge, MA
National Provider Identifier
1376652552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7196
- Practice address
- 12 Ash St
Cambridge, MA 02138-4832 - Phone
- (617) 497-9027
- Fax
- (617) 497-1244
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY 7196 | MA | |
| Psychologist | 103T00000X | 7196 | MA | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 7196 | MA | |
| Adult Development & Aging Psychologist | 103TA0700X | 7196 | MA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 7196 | MA | |
| Clinical Psychologist | 103TC0700X | 7196 | MA | |
| Counseling Psychologist | 103TC1900X | 7196 | MA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 7196 | MA |
Addresses
Primary practice location
12 Ash St
Cambridge, MA 02138-4832
Mailing address
22 Hilliard Street
Cambridge, MA 02138-4832
Phone (617) 497-9027
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0526398 | Other | MA | MASS HEALTH |
| W05763 | Other | MA | BCBS |
Other names 1
- Dr. Winifred H Sachs
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 7196 | MA | MD | Clinical Neuropsychologist |
| 7196 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1376652552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 HILLIARD STREET",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384832",
"telephone_number": "617-497-9027",
"fax_number": "617-497-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 ASH ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021384832",
"telephone_number": "617-497-9027",
"fax_number": "617-497-1244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENTSCHEL",
"first_name": "WINFRED",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "PSY 7196",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7196",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "7196",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "MA",
"license": "7196",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "7196",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7196",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "7196",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "MA",
"license": "7196",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH",
"identifier": "0526398",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W05763",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WINIFRED",
"last_name": "SACHS",
"middle_name": "H",
"prefix": "DR.",
"credential": "ED.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.