Active NPI
Gretchen Timmel, M.ED.
- Psychologist
- Boston, MA
National Provider Identifier
1649308917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 263
- Practice address
- 60 Staniford St
Suite 120
Boston, MA 02114-2523 - Phone
- (617) 726-2620
- NPI assigned
- Mar 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 263 | MA | Primary |
Addresses
Primary practice location
60 Staniford St
Suite 120
Boston, MA 02114-2523
Mailing address
19 Theurer Park
Watertown, MA 02472-2567
Phone (617) 643-2737
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263 | MA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649308917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 THEURER PARK",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024722567",
"telephone_number": "617-643-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 STANIFORD ST",
"address_2": "SUITE 120",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142523",
"telephone_number": "617-726-2620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMEL",
"first_name": "GRETCHEN",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.