Allan Wyatt, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4515 Issued in MA

Practice address

586 Main St
Shrewsbury, MA 01545-2920

Phone

(508) 358-2144

Fax

(508) 358-2149

NPI assigned

Apr 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Human Relations Service

  • Group Psychotherapy Psychologist
  • Wellesley, MA
  • NPI 1750301966
  Medicare reassignment NPD

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669595740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 CONCORD RD",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017781205",
            "telephone_number": "508-358-3546",
            "fax_number": "508-358-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 MAIN ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015452920",
            "telephone_number": "508-358-2144",
            "fax_number": "508-358-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CRO",
            "identifier": "W04353",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan M Winters, PTA
• Giovanna Maria Witowski, RPH, CDM
• Molly K Woodbury, OTR-L MS
• Worcester Afc, LLC
• James R Wright, M.D.
• Jack J Xu
• Zhe Xu, DMD
• Yan Wang D.M.D.;P.C.
• Rachel Yazbeck
• Zaria Zaheen

• Psychologist in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Psychologist in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.