Individual provider Active NPI

Emma Nathanson, LICPSY

  • Clinical Psychologist
  • Worcester, MA
National Provider Identifier
1477954527
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11010 Issued in MA
Practice address
335 Chandler St
Worcester, MA 01602-3441
Phone
(508) 373-7920
NPI assigned
Sep 9, 2014
Last updated
Mar 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 11010 MA Primary

Addresses

Primary practice location

335 Chandler St
Worcester, MA 01602-3441

Mailing address

335 Chandler St
Worcester, MA 01602-3441
Phone (978) 758-9335

Other practice location 1

66 Orchard St
Apt 1
Cambridge, MA 02140-1309
Phone (978) 758-9335

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
11010MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emma Nathanson, PSYD LLC Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1477954527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 CHANDLER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023441",
            "telephone_number": "978-758-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 CHANDLER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016023441",
            "telephone_number": "508-373-7920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Orchard St",
            "address_2": "Apt 1",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021401309",
            "country_code": "US",
            "telephone_number": "978-758-9335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATHANSON",
        "first_name": "EMMA",
        "credential": "LICPSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.