Active NPI
Wendy Lynne Rotfort, PSY.D.
- Clinical Psychologist
- Newton, MA
National Provider Identifier
1699977421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9288
- Practice address
- 313 Washington St.
Suite 208
Newton, MA 02458-1626 - Phone
- (617) 332-4500
- NPI assigned
- Jun 4, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9288 | MA | Primary |
Addresses
Primary practice location
313 Washington St.
Suite 208
Newton, MA 02458-1626
Mailing address
160 Commonwealth Ave.
Suite U-3
Boston, MA 02116-2749
Phone (617) 259-1895
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9288 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1699977421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 COMMONWEALTH AVE.",
"address_2": "SUITE U-3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021162749",
"telephone_number": "617-259-1895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 WASHINGTON ST.",
"address_2": "SUITE 208",
"city": "NEWTON",
"state": "MA",
"postal_code": "024581626",
"telephone_number": "617-332-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTFORT",
"first_name": "WENDY",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.