Individual provider Active NPI

Allison C Flynn, PSYD

  • Clinical Psychologist
  • Sudbury, MA
National Provider Identifier
1518274851
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9691 Issued in MA
Practice address
410 Boston Post Rd Ste 22a
Sudbury, MA 01776-3013
Phone
(508) 208-9563
Fax
(508) 358-6054
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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 9691 MA Primary

Addresses

Primary practice location

410 Boston Post Rd Ste 22a
Sudbury, MA 01776-3013

Mailing address

410 Boston Post Rd Ste 22a
Sudbury, MA 01776-3013
Phone (508) 208-9563

Other practice location 1

73 Pehlam Island Rd
Wayland, MA 01778
Phone (508) 358-2918

Other names 1

  • Allison M Cohen Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9691MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1518274851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 BOSTON POST RD STE 22A",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763013",
            "telephone_number": "508-208-9563",
            "fax_number": "508-358-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 BOSTON POST RD STE 22A",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763013",
            "telephone_number": "508-208-9563",
            "fax_number": "508-358-6054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Pehlam Island Rd",
            "address_purpose": "LOCATION",
            "city": "Wayland",
            "state": "MA",
            "postal_code": "01778",
            "country_code": "US",
            "telephone_number": "508-358-2918",
            "fax_number": "508-358-6054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "ALLISON",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "COHEN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.