Individual provider Active NPI

Mary Ann Angela Parente, PSY.D

  • Clinical Psychologist
  • Lynn, MA
National Provider Identifier
1609033752
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8777 Issued in MA
Practice address
694 Western Ave
Lynn, MA 01905-2229
Phone
(781) 586-6558
NPI assigned
May 16, 2008
Last updated
May 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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 8777 MA Primary

Addresses

Primary practice location

694 Western Ave
Lynn, MA 01905-2229

Mailing address

144 Washington Ave
West Newton, MA 02465-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8777MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Community Health, Inc. PastSince Dec 26, 2014 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1609033752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 WASHINGTON AVE",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024651026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 WESTERN AVE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019052229",
            "telephone_number": "781-586-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARENTE",
        "first_name": "MARY ANN",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.