Individual provider Active NPI

Winfred J Hentschel, ED.D.

  • Psychologist
  • Cambridge, MA
National Provider Identifier
1376652552
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7196 Issued in MA
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

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0526398OtherMAMASS HEALTH
W05763OtherMABCBS

Other names 1

  • Dr. Winifred H Sachs Former name

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

LicenseStateTypeSpecialty
PSY 7196MAMDClinical Neuropsychologist
7196MAMDPhysical 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.

Verify at the official NPI Registry.