Peifer Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9248 Issued in MA

Legal business name

PEIFER PSYCHOLOGICAL SERVICES

Practice address

105 Greenlodge St
Dedham, MA 02026-6220

Phone

(617) 213-0747

NPI assigned

Feb 16, 2013

Last updated

Feb 18, 2021By 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

Marissa Lynne Peifer, PSY.D.NPI 1588811749

Title

Owner

Phone

(617) 213-0747

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Marissa Lynne Peifer, PSY.D.

  • Psychologist
  • Boston, MA
  • NPI 1588811749
  NPD Authorized official

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

{
    "created_epoch": "1360972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1508106238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GREENLODGE ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266220",
            "telephone_number": "617-213-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GREENLODGE ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266220",
            "telephone_number": "617-213-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEIFER PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-16",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "PEIFER",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-213-0747",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9248",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE NUMBER",
            "identifier": "9248",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steve Paul
• Patricia Marie Pauris, M.S., A.T.C., CPT
• Makeda Payton
• Pearle Vision
• Marissa Peaslee
• Jordan Pelletier
• Jason Peltier
• Shirley Pemberton
• Hilary Pena
• Leslie Penni, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.