Active NPI
Drew E Madore, PSYD
- Clinical Psychologist
- Cambridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10000323
- Practice address
- Cambridge Health Alliance, Cha Macht BLDG
1493 Cambridge St., Room 239
Cambridge, MA 02139 - Phone
- (617) 575-5399
- NPI assigned
- Apr 20, 2021
- Sex
- Male
- 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 | 10000323 | MA | Primary |
Addresses
Primary practice location
Cambridge Health Alliance, Cha Macht BLDG
1493 Cambridge St., Room 239
Cambridge, MA 02139
Mailing address
Cambridge Health Alliance, Cha Macht BLDG
1493 Cambridge St., Room 239
Cambridge, MA 02139
Phone (617) 575-5399
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cambridge Public Health Commission
Practice addresses (Care Compare)
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000323 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients | |
| Cambridge Public Health Commission | Current | Accepting new patients |
Locations
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
1493 Cambridge St
Rm 239
Cambridge, MA 02139
Phone (617) 575-5399
103 Garland St
Everett, MA 02149
Phone (617) 381-7150
350 Main St
Ste 31
Malden, MA 02148
Phone (781) 397-6583
Interoperability endpoints
- dmadore112030@direct.challiance.masshiway.net
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1487603585
-
- General Acute Care Hospital
- Cambridge, MA
- NPI 1932313228
-
- Clinic/Center
- Cambridge, MA
- NPI 1306908405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1770164741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CAMBRIDGE HEALTH ALLIANCE, CHA MACHT BLDG",
"address_2": "1493 CAMBRIDGE ST., ROOM 239",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02139",
"telephone_number": "617-575-5399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CAMBRIDGE HEALTH ALLIANCE, CHA MACHT BLDG",
"address_2": "1493 CAMBRIDGE ST., ROOM 239",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02139",
"telephone_number": "617-575-5399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADORE",
"first_name": "DREW",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-20",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10000323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.