Active NPI
Richard S Dana, ED.D.
- Psychologist
- Wellesley Hills, MA
National Provider Identifier
1568549327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3230
- Practice address
- 20 Walnut St
Suite 100
Wellesley Hills, MA 02481-2104 - Phone
- (781) 235-9696
- Fax
- (781) 235-9697
- NPI assigned
- Nov 1, 2006
- Last updated
- Oct 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 3230 | MA | Primary |
Addresses
Primary practice location
20 Walnut St
Suite 100
Wellesley Hills, MA 02481-2104
Mailing address
20 Walnut St
Suite 100
Wellesley Hills, MA 02481-2104
Phone (781) 235-9696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W03323 | Other | MA | BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1568549327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WALNUT ST",
"address_2": "SUITE 100",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024812104",
"telephone_number": "781-235-9696",
"fax_number": "781-235-9697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 WALNUT ST",
"address_2": "SUITE 100",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024812104",
"telephone_number": "781-235-9696",
"fax_number": "781-235-9697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANA",
"first_name": "RICHARD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "3230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W03323",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.