Active NPI
Marcie W. Handler, PH.D., BCBA-D
- Psychologist
- Walpole, MA
National Provider Identifier
1629377031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7936
- Practice address
- 55 Granite St
Walpole, MA 02081-1600 - Phone
- (781) 367-6208
- NPI assigned
- Mar 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 780 | MA | |
| Psychologist | 103T00000X | 7936 | MA | Primary |
Addresses
Primary practice location
55 Granite St
Walpole, MA 02081-1600
Mailing address
55 Granite St
Walpole, MA 02081-1600
Phone (781) 367-6208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110026265 | Medicaid | MA |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 780 | MA | MD | Counselor |
| 7936 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1629377031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 GRANITE ST",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020811600",
"telephone_number": "781-367-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 GRANITE ST",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020811600",
"telephone_number": "781-367-6208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDLER",
"first_name": "MARCIE",
"middle_name": "W.",
"name_prefix": "Mrs.",
"credential": "PH.D., BCBA-D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "780",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110026265",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walpole, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.