Individual provider Active NPI

Wayne Van Orman, ED.D.

  • Counseling Psychologist
  • Concord, MA
National Provider Identifier
1679674782
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
7250 Issued in MA
Practice address
58 Stow St
Concord, MA 01742-2400
Phone
(978) 371-7338
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 7250 MA Primary

Addresses

Primary practice location

58 Stow St
Concord, MA 01742-2400

Mailing address

58 Stow St
Concord, MA 01742-2400
Phone (978) 371-7338

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040301000618 MA Practitioner - Clinical Psychologist 5193612620 Practice locations: Cambridge, MA; Lawrence, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

439 S Union St
Suite 207a
Lawrence, MA 01843-2837
Phone (978) 681-9652

950 Cambridge St
Cambridge, MA 02141-1001
Phone (617) 441-1743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7250MAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vinfen Corporation CurrentSince Oct 1, 2020 Accepting new patients
Travis Corp Past Accepting new patients

Locations

950 Cambridge St
Cambridge, MA 02141
Phone (617) 441-1743

439 S Union St
Ste 207AB
Lawrence, MA 01843

439 S Union St
Unit 205
Lawrence, MA 01843
Phone (978) 469-8245

Organizations & group practices 2

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679674782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 STOW ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422400",
            "telephone_number": "978-371-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 STOW ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422400",
            "telephone_number": "978-371-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ORMAN",
        "first_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "7250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.