Active NPI
John Weagraff, PSY. D.
- Psychologist
- Westborough, MA
National Provider Identifier
1518022706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7112
- Practice address
- Westborough State Hospital
Lyman Street
Westborough, MA 01581-0288 - Phone
- (508) 616-2100
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7112 | MA | Primary |
Addresses
Primary practice location
Westborough State Hospital
Lyman Street
Westborough, MA 01581-0288
Mailing address
Westborough State Hospital
Lyman Street
Westborough, MA 01581-0288
Phone (508) 616-2100
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7112 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayside Youth and Family Support Network | Past | Accepting new patients | |
| The Commonwealth of Massachusetts | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Westborough, MA
- NPI 1740358878
-
- Mental Health Counselor
- Framingham, MA
- NPI 1851484505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1518022706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WESTBOROUGH STATE HOSPITAL",
"address_2": "LYMAN STREET",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015810288",
"telephone_number": "508-616-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WESTBOROUGH STATE HOSPITAL",
"address_2": "LYMAN STREET",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015810288",
"telephone_number": "508-616-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAGRAFF",
"first_name": "JOHN",
"credential": "PSY. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.