Individual provider Active NPI

Rachel L Movitz, PSY.D.

  • Adult Development & Aging Psychologist
  • Westford, MA
National Provider Identifier
1497788491
Registry record updated Sep 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Development & Aging PsychologistTaxonomy code 103TA0700X
License
8263 Issued in MA
Practice address
319 Littleton Rd Ste 108
Westford, MA 01886-4133
Phone
(781) 640-0900
NPI assigned
Jul 10, 2006
Last updated
Sep 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X 8263 MA Primary

Addresses

Primary practice location

319 Littleton Rd Ste 108
Westford, MA 01886-4133

Mailing address

PO Box 628
Westford, MA 01886-0019
Phone (781) 640-0900

Other identifiers 2

IdentifierTypeStateIssuer
WO6374OtherMABLUE CROSS BLUE SHIELD
1859731MedicaidMA

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
I20041214000119 MA Practitioner - Clinical Psychologist 2567429368 Practice locations: Littleton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26 Jennifer St
Littleton, MA 01460-1709
Phone (781) 640-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8263MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Insight Inc CurrentSince Apr 25, 2021 Accepting new patients
Dr. Rachel Laschever Movitz, Psy.D. Adult Development & Aging PastSince Apr 1, 2007 Accepting new patients
Limbic Resources Past Accepting new patients
Life Management Associates Inc Adult Development & Aging Past Accepting new patients

Locations

105 Webster St
Ste 8
Hanover, MA 02339
Phone (781) 312-7457

Organizations & group practices 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1497788491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018860019",
            "telephone_number": "781-640-0900",
            "fax_number": "978-486-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 LITTLETON RD STE 108",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018864133",
            "telephone_number": "781-640-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOVITZ",
        "first_name": "RACHEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "MA",
            "license": "8263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "WO6374",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1859731",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

Verify at the official NPI Registry.