Individual provider Active NPI

Donna Whipple, PSYD

  • Psychologist
  • North Reading, MA
National Provider Identifier
1417036567
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7144 Issued in MA
Practice address
324 Main St
North Reading, MA 01864-1329
Phone
(978) 664-2566
Fax
(978) 664-8023
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7144 MA Primary

Addresses

Primary practice location

324 Main St
North Reading, MA 01864-1329

Mailing address

37 Columbia Rd
North Andover, MA 01845-1641
Phone (978) 682-5627

Other identifiers 9

IdentifierTypeStateIssuer
1898213MedicaidMA
007144OtherMATUFTS HEALTH PLAN
W05593OtherMABCBS FEDERAL
043114833-04OtherMAPACIFICARE BEHAVIORAL HEA
1028943OtherMACIGNA BEHAVIORAL HEALTH
002599OtherMAVALUE OPTIONS
007144OtherMATUFTS BENEFIT ADMINISTRAT
W05593OtherMABCBS OF MA
W05593OtherMAMEDEX

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
I20070207000536 MA Practitioner - Clinical Psychologist 5092629758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychotherapy Associates of North ReadingGroup PAC ID 5395659049, 8 clinicians

Practice addresses (Care Compare)

5 Market SQ
Amesbury, MA 01913-2405
Phone (978) 664-2566

58 Concord St
North Reading, MA 01864-2602
Phone (978) 664-2566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Associates of North Reading CurrentSince Jun 1, 1990 Accepting new patients

Locations

5 Market Sq
Ste 102
Amesbury, MA 01913
Phone (978) 664-2556

324 Main St
North Reading, MA 01864
Phone (978) 664-2566

58 Concord St
North Reading, MA 01864
Phone (866) 331-3345

Organizations & group practices 1

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417036567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 COLUMBIA RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451641",
            "telephone_number": "978-682-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MAIN ST",
            "city": "NORTH READING",
            "state": "MA",
            "postal_code": "018641329",
            "telephone_number": "978-664-2566",
            "fax_number": "978-664-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1898213",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "007144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEDERAL",
            "identifier": "W05593",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE BEHAVIORAL HEA",
            "identifier": "043114833-04",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "1028943",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "002599",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS BENEFIT ADMINISTRAT",
            "identifier": "007144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "W05593",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDEX",
            "identifier": "W05593",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Reading, MA

Sources for this page

Verify at the official NPI Registry.