Individual provider Active NPI

Carol F Cole, ED.E.

  • Clinical Psychologist
  • Newton, MA
National Provider Identifier
1497804066
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2344 Issued in MA
Practice address
73 Church St
Newton, MA 02458-2038
Phone
(617) 332-0140
Fax
(617) 630-0830
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2344 MA Primary

Addresses

Primary practice location

73 Church St
Newton, MA 02458-2038

Mailing address

73 Church St
Newton, MA 02458-2038
Phone (617) 332-0140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 21, 2022 through Nov 21, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497804066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CHURCH ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582038",
            "telephone_number": "617-332-0140",
            "fax_number": "617-630-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CHURCH ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582038",
            "telephone_number": "617-332-0140",
            "fax_number": "617-630-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "CAROL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "ED.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "2344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.