Meredith Tumilty, PSYD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

10448 Issued in MA

Practice address

396 Washington St # 266
Wellesley Hills, MA 02481-6209

Phone

(855) 438-8331

NPI assigned

Jun 13, 2016

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meredith Tumilty, PSYD LLC

  • Clinical Psychologist
  • Ashland, MA
  • NPI 1417832072
  NPD Authorized official

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1598114308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 WASHINGTON ST # 266",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816209",
            "telephone_number": "855-438-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 WASHINGTON ST # 266",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816209",
            "telephone_number": "855-438-8331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Bear Tavern Road",
            "address_purpose": "LOCATION",
            "city": "West Trenton",
            "state": "NJ",
            "postal_code": "08628",
            "country_code": "US",
            "telephone_number": "855-438-8331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMILTY",
        "first_name": "MEREDITH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "10448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY DIVISION OF CONSUMER AFFAIRS",
            "identifier": "35SI00691700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTRATION OF PSYCHOLOGISTS",
            "identifier": "10448",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CONNECTICUT",
            "identifier": "4247",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Theys, MS.ED, BCBA, LABA
• Thomas M. Howieson D.D.S., PC
• Diane Toolan
• Lila Miller Toub, DPT
• Janice P. Tuckman, LICSW
• Rita Ann Vatcher, MA, LMHC
• Vicki Heller, MD
• Kelly Vinitsky, FNP
• Vivaskin Dermatology and Aesthetics
• Wachusett Healthcare Management Company, LLC (Wachusett Healthcare)

• Clinical Child & Adolescent Psychologist in Wellesley Hills, MA
• Providers in Wellesley Hills, MA by specialty
• Clinical Child & Adolescent Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.