Active NPI
Dorothy Elizabeth Warner, PH.D.
- Clinical Psychologist
- Newton, MA
National Provider Identifier
1588979934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9686
- Practice address
- 10 Langley Rd
Suite 200
Newton, MA 02459-1972 - Phone
- (617) 454-4794
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 9686 | MA | |
| Clinical Neuropsychologist | 103G00000X | 9686 | MA | |
| Clinical Psychologist | 103TC0700X | 9686 | MA | Primary |
Addresses
Primary practice location
10 Langley Rd
Suite 200
Newton, MA 02459-1972
Mailing address
10 Langley Rd
Suite 200
Newton, MA 02459-1972
Phone (617) 454-4794
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 |
|---|---|---|---|
| 9686 | MA | MD | Clinical Psychologist |
Interoperability endpoints
- dorothy.warner.1@30520.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1588979934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LANGLEY RD",
"address_2": "SUITE 200",
"city": "NEWTON",
"state": "MA",
"postal_code": "024591972",
"telephone_number": "617-454-4794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LANGLEY RD",
"address_2": "SUITE 200",
"city": "NEWTON",
"state": "MA",
"postal_code": "024591972",
"telephone_number": "617-454-4794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "DOROTHY",
"middle_name": "ELIZABETH",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "9686",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "9686",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.