Active NPI
Julie Thayer, PSYD
- Clinical Psychologist
- Wellesley, MA
National Provider Identifier
1669721429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10326
- Practice address
- 230 Worcester St
Wellesley, MA 02481-5420 - Phone
- (781) 431-5270
- NPI assigned
- Sep 6, 2012
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS01758 | RI | |
| Clinical Psychologist | 103TC0700X | 10326 | MA | Primary |
Addresses
Primary practice location
230 Worcester St
Wellesley, MA 02481-5420
Mailing address
83 Holly LN
Holliston, MA 01746-2521
Phone (774) 232-1680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10326 | MA | MD | Clinical Psychologist |
| PS01758 | RI | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients | |
| Atrius Health, Inc. | Current | Accepting new patients |
Locations
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
230 Worcester St
Wellesley Hills, MA 02481
Phone (781) 431-5200
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Beverly, MA
- NPI 1114265634
-
- Internal Medicine Physician
- Dedham, MA
- NPI 1306231519
-
- Internal Medicine Physician
- Boston, MA
- NPI 1871639914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1669721429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 HOLLY LN",
"city": "HOLLISTON",
"state": "MA",
"postal_code": "017462521",
"telephone_number": "774-232-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 WORCESTER ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815420",
"telephone_number": "781-431-5270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAYER",
"first_name": "JULIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "RI",
"license": "PS01758",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley, MA
- Ruth Tedaldi, MD
- Katherine Strand Teixeira-Dasilva, N.P.
- Kendal Temple, BSN, RN
- Kelly Marie Terral, CNP
- Emma Winslow Thacher
- The Elliot Lewis Center for Multiple Sclerosis Care LLC
- The Elliot Lewis Center for Multiple Sclerosis Care LLC
- The Postureworks LLC
- The Riverbend Group LLC
- Theraspring Physical Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.