Active NPI
Caitlin Elaine Conroy, PSYD
- Clinical Child & Adolescent Psychologist
- Waltham, MA
National Provider Identifier
1700088523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 9077
- Practice address
- 9 Hope Ave
Boston Childrens Hospital Waltham
Waltham, MA 02453-2741 - Phone
- (781) 216-1650
- 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 Child & Adolescent Psychologist | 103TC2200X | 9077 | MA | Primary |
Addresses
Primary practice location
9 Hope Ave
Boston Childrens Hospital Waltham
Waltham, MA 02453-2741
Mailing address
9 Hope Ave
Boston Childrens Hospital Waltham
Waltham, MA 02453-2741
Phone (781) 216-1650
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 |
|---|---|---|---|
| 9077 | MA | MD | Clinical Child & Adolescent 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": "1361404800000",
"number": "1700088523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HOPE AVE",
"address_2": "BOSTON CHILDRENS HOSPITAL WALTHAM",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532741",
"telephone_number": "781-216-1650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HOPE AVE",
"address_2": "BOSTON CHILDRENS HOSPITAL WALTHAM",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024532741",
"telephone_number": "781-216-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONROY",
"first_name": "CAITLIN",
"middle_name": "ELAINE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "9077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.