Organization Active NPI

Psychological Consulting, P.C.

  • Clinical Psychologist
  • Woburn, MA
National Provider Identifier
1487708632
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4876 Issued in MA
Legal business name
PSYCHOLOGICAL CONSULTING, P.C.
Practice address
8 Cedar St
Suite 58
Woburn, MA 01801-7246
Phone
(781) 224-2820
Fax
(781) 224-0074
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Dr. Marie Lise Royer, PH.D.NPI 1326192048
Title
Clinical Psychologist
Phone
(781) 224-2820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4876 MA Primary

Addresses

Primary practice location

8 Cedar St
Suite 58
Woburn, MA 01801-7246

Mailing address

PO Box 1860
Wakefield, MA 01880-5860
Phone (781) 224-2820

Other identifiers 11

IdentifierTypeStateIssuer
001859OtherMAHPHC-PACIFICARE
135081OtherMAVALUEOPTIONS
5098732OtherMAAETNA BEH. HEALTH
790711OtherMATUFTS HEALTH PLAN MEDICARE PREFERRED
W05512OtherMABC/BS OF MA FOR 'MARIE LISE ROYER'
W10505OtherMAEMPIRE BCBS, EIN#
102931OtherMAMBH-MAGELLAN
1899112MedicaidMA
790711OtherMATUFTS-NAVIGATOR,MYNAME&SS
790711OtherMATUFTS HEALTH PLANS
W10505OtherMABC/BS OF MA FOR 'PSYCHOLOGICAL CONSULTING, P.C.'

Other names 1

  • Marie Lise Royer, Ph.D. Other name

National Provider Directory

National Provider Directory

Locations

8 Cedar St
Ste 58
Woburn, MA 01801
Phone (781) 933-6111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1487708632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1860",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018805860",
            "telephone_number": "781-224-2820",
            "fax_number": "781-224-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CEDAR ST",
            "address_2": "SUITE 58",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017246",
            "telephone_number": "781-224-2820",
            "fax_number": "781-224-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CONSULTING, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "ROYER",
        "authorized_official_first_name": "MARIE LISE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "781-224-2820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC-PACIFICARE",
            "identifier": "001859",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "135081",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEH. HEALTH",
            "identifier": "5098732",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN MEDICARE PREFERRED",
            "identifier": "790711",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MA FOR 'MARIE LISE ROYER'",
            "identifier": "W05512",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS, EIN#",
            "identifier": "W10505",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBH-MAGELLAN",
            "identifier": "102931",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1899112",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS-NAVIGATOR,MYNAME&SS",
            "identifier": "790711",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLANS",
            "identifier": "790711",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MA FOR 'PSYCHOLOGICAL CONSULTING, P.C.'",
            "identifier": "W10505",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marie Lise Royer, Ph.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.