Active NPI
Chad M McWhinnie, PH.D.
- Clinical Psychologist
- Belmont, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10623
- Practice address
- 115 Mill St
Belmont, MA 02478-1064 - Phone
- (617) 855-4418
- NPI assigned
- Jul 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 10623 | MA | Primary |
Addresses
Primary practice location
115 Mill St
Belmont, MA 02478-1064
Mailing address
115 Mill Street
Acute Residential Treatment Program, East House 2
Belmont, MA 02478
Phone (857) 756-4325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10623 | MA | MD | Clinical Psychologist |
| 4947 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Current | Accepting new patients | |
| B--Umg Integrated Health Clinic, LLC | Current | Accepting new patients |
Locations
2800 E Ajo Way
Ste 1248
Tucson, AZ 85713
535 N Wilmot Rd
Fl 2
Tucson, AZ 85711
Phone (520) 694-1234
3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873
1625 N Campbell Ave
Tucson, AZ 85719
535 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 694-1794
2800 E Ajo Way
Bldg 100
Tucson, AZ 85713
Phone (520) 419-5820
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1043758816
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500422400000",
"number": "1447773742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MILL STREET",
"address_2": "ACUTE RESIDENTIAL TREATMENT PROGRAM, EAST HOUSE 2",
"city": "BELMONT",
"state": "MA",
"postal_code": "02478",
"telephone_number": "857-756-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MILL ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024781064",
"telephone_number": "617-855-4418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCWHINNIE",
"first_name": "CHAD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-19",
"last_updated": "2017-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.