Boston Metro Neuropsychology

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BOSTON METRO NEUROPSYCHOLOGY

Practice address

1900 West Park Drive
Westborough, MA 01581

Phone

(781) 347-2165

Fax

(781) 205-1694

NPI assigned

Jun 29, 2020

Last updated

Sep 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Wershba, PH.D.NPI 1851702245

Title

Doctor/Founder

Phone

(781) 347-2165

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: rwershba@bmn.sprucecare.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca E Wershba, PHD

  • Clinical Neuropsychologist
  • Westborough, MA
  • NPI 1851702245
  Medicare reassignment Care Compare group NPD Authorized official
• Vincenzo Zaccheo, PSYD

  • Clinical Neuropsychologist
  • Westborough, MA
  • NPI 1154775302
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1477170256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W PARK DR STE 280",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813919",
            "telephone_number": "781-342-0056",
            "fax_number": "781-205-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WEST PARK DRIVE",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "01581",
            "telephone_number": "781-347-2165",
            "fax_number": "781-205-1694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Lyman St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "015811434",
            "country_code": "US",
            "telephone_number": "781-342-0056",
            "fax_number": "781-205-1694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOSTON METRO NEUROPSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "WERSHBA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DOCTOR/FOUNDER",
        "authorized_official_telephone_number": "781-347-2165",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851702245",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwershba@BMN.sprucecare.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "517 Boston Post Rd Unit 525",
            "city": "Sudbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017767622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Ernest Booher, PH.D.
• Heather Marie Borelli
• Kristin A Bornstein, M.ED
• Ayon Bose, LMHC
• Amber Boss, LCSW
• Boston Sports & Shoulder Center, LLC (Boston Sports & Shoulder Center)
• Kara A Bouchard, FNP, RN
• Erin Lee Boudreaux, PH.D.
• Charlotte Boutillette
• Leah Bozzuto

• Clinical Psychologist in Westborough, MA
• Providers in Westborough, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.