Active NPI
Alexandra Macdonald, PH.D.
- Psychologist
- Jamaica Plain, MA
National Provider Identifier
1760769806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 9418
- Practice address
- 150 S Huntington Ave
VA Boston Healthcare System, 116B
Jamaica Plain, MA 02130-4817 - Phone
- (857) 364-6197
- NPI assigned
- Nov 3, 2011
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 9418 | MA | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 9418 | MA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 9418 | MA | |
| Clinical Psychologist | 103TC0700X | 9418 | MA | |
| Family Psychologist | 103TF0000X | 9418 | MA |
Addresses
Primary practice location
150 S Huntington Ave
VA Boston Healthcare System, 116B
Jamaica Plain, MA 02130-4817
Mailing address
233 Commonwealth Ave Apt 6
Boston, MA 02116-1720
Phone (617) 312-0207
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1760769806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 COMMONWEALTH AVE APT 6",
"city": "BOSTON",
"state": "MA",
"postal_code": "021161720",
"telephone_number": "617-312-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S HUNTINGTON AVE",
"address_2": "VA BOSTON HEALTHCARE SYSTEM, 116B",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021304817",
"telephone_number": "857-364-6197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "ALEXANDRA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-03",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "9418",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "9418",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "9418",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9418",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MA",
"license": "9418",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.