Individual provider Active NPI

Marsha Ina Chaskelson, PH.D.

  • Psychologist
  • Lexington, MA
National Provider Identifier
1639293681
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4208 Issued in MA
Practice address
76 Bedford St
Suite 26
Lexington, MA 02420-4646
Phone
(781) 863-5599
Fax
(781) 863-2488
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 4208 MA
Psychologist 103T00000X 4208 MA Primary
Cognitive & Behavioral Psychologist 103TB0200X 4208 MA
Clinical Child & Adolescent Psychologist 103TC2200X 4208 MA

Addresses

Primary practice location

76 Bedford St
Suite 26
Lexington, MA 02420-4646

Mailing address

76 Bedford St
Suite 26
Lexington, MA 02420-4646
Phone (781) 863-5599

Other identifiers 1

IdentifierTypeStateIssuer
W10294OtherMABLUE CROSS BLUE SHIELD 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

LicenseStateTypeSpecialty
4208MAMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639293681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST",
            "address_2": "SUITE 26",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204646",
            "telephone_number": "781-863-5599",
            "fax_number": "781-863-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BEDFORD ST",
            "address_2": "SUITE 26",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204646",
            "telephone_number": "781-863-5599",
            "fax_number": "781-863-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASKELSON",
        "first_name": "MARSHA",
        "middle_name": "INA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "4208",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4208",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MA",
            "license": "4208",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "4208",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "W10294",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.