Active NPI
Peggy Marie Worden, PSY.D.
- Clinical Psychologist
- Belmont, MA
National Provider Identifier
1669428231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8024
- Practice address
- 115 Mill St
Belmont, MA 02478-1041 - Phone
- (617) 855-2852
- Fax
- (617) 855-3754
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8024 | MA | Primary |
Addresses
Primary practice location
115 Mill St
Belmont, MA 02478-1041
Mailing address
115 Mill St
Belmont, MA 02478-1041
Phone (617) 855-2852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W06176 | Other | MA | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pworden@partnets.org | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8024 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The McLean Hospital Corporation | Clinical | Current | Accepting new patients |
Locations
115 Mill St
Belmont, MA 02478
Phone (617) 855-2000
Interoperability endpoints
- worden.peggy.mcl@direct.partners.masshiway.net
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1669428231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MILL ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024781041",
"telephone_number": "617-855-2852",
"fax_number": "617-855-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MILL ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024781041",
"telephone_number": "617-855-2852",
"fax_number": "617-855-3754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORDEN",
"first_name": "PEGGY",
"middle_name": "MARIE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W06176",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pworden@partnets.org",
"affiliation": "N",
"endpointDescription": "work e0mail",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "115 Mill St",
"city": "Belmont",
"state": "MA",
"country_code": "US",
"postal_code": "024781041",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belmont, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.