Individual provider Active NPI

Norma Lorraine Medway, PSY.D.

  • Psychologist
  • Worcester, MA
National Provider Identifier
1760576276
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7535 Issued in MA
Practice address
130 Elm St Ste 100
Worcester, MA 01609
Phone
(508) 753-0358
Fax
(508) 753-1785
NPI assigned
Oct 2, 2006
Last updated
May 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7535 MA Primary

Addresses

Primary practice location

130 Elm St Ste 100
Worcester, MA 01609

Mailing address

130 Elm St Ste 100
Worcester, MA 01609-1903
Phone (508) 753-0358

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
I20040802001141 MA Practitioner - Clinical Psychologist 8527039866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

130 Elm St
Suite 100
Worcester, MA 01609-1903
Phone (508) 753-0358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7535MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Norma L. Medway, Psy.D.PC Psychologist CurrentSince Apr 5, 2013 Accepting new patients
Park Place Associates, LLP Psychologist Past Accepting new patients

Locations

130 Elm St
Ste 100
Worcester, MA 01609
Phone (508) 753-0358

20 Park Ave
Worcester, MA 01605
Phone (508) 753-0358

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1760576276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ELM ST STE 100",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091903",
            "telephone_number": "508-753-0358",
            "fax_number": "508-753-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ELM ST STE 100",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01609",
            "telephone_number": "508-753-0358",
            "fax_number": "508-753-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDWAY",
        "first_name": "NORMA",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.