Active NPI
Jonathan Alan Worcester, PH.D., NCSP, BCBA-D
- Psychologist
- Worcester, MA
National Provider Identifier
1770725111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY10000705
- Practice address
- 81 Hope Ave
Worcester, MA 01603-2212 - Phone
- (508) 320-4991
- NPI assigned
- Mar 31, 2009
- Last updated
- May 2, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY10000705 | MA | Primary |
| School Psychologist | 103TS0200X | 1020 | MA | |
| Behavior Analyst | 103K00000X | 341 | MA | |
| Developmental Therapist | 222Q00000X | NU |
Addresses
Primary practice location
81 Hope Ave
Worcester, MA 01603-2212
Mailing address
81 Hope Ave
Worcester, MA 01603-2299
Phone (508) 983-2926
Other practice location 1
22 Hillside Ave
Groton, MA 01450-1284
Phone (978) 448-3388
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-03-1200 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD | |
| 33311 | Other | NATIONAL SCHOOL PSYCHOLOGY CERTIFICATION BOARD | |
| 341 | Other | MA | DIVISION OF PROFESSIONAL LICENSURE BOARD OF ALLIED MENTAL HEALTH |
| PSY10000705 | Other | MA | DEPARTMENT OF PUBLIC HEALTH BOARD OF REGISTRATION OF PSYCHOLOGISTS |
| 20743 | Other | ACADEMY OF CERTIFIED BRAIN INJURY SPECIALISTS |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10000705 | MA | MD | Psychologist |
| 1020 | MA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777680000000",
"number": "1770725111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HOPE AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016032299",
"telephone_number": "508-983-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HOPE AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016032212",
"telephone_number": "508-320-4991"
}
],
"practiceLocations": [
{
"address_1": "22 Hillside Ave",
"address_purpose": "LOCATION",
"city": "Groton",
"state": "MA",
"postal_code": "014501284",
"country_code": "US",
"telephone_number": "978-448-3388",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WORCESTER",
"first_name": "JONATHAN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PH.D., NCSP, BCBA-D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-31",
"last_updated": "2026-05-02",
"certification_date": "2026-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "PSY10000705",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "1020",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "341",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-03-1200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL SCHOOL PSYCHOLOGY CERTIFICATION BOARD",
"identifier": "33311",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIVISION OF PROFESSIONAL LICENSURE BOARD OF ALLIED MENTAL HEALTH",
"identifier": "341",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF PUBLIC HEALTH BOARD OF REGISTRATION OF PSYCHOLOGISTS",
"identifier": "PSY10000705",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACADEMY OF CERTIFIED BRAIN INJURY SPECIALISTS",
"identifier": "20743",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
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- Worcester Smiles Youth Dentistry, LLC
- Worcester Smiles Youth Dentistry, LLC (Straight Smiles of Worcester)
- Worcester Urological Associates Inc
- Sylvia Worrell, DO
- Cynthia A Worthington
- Angela S Wozniak
- Wpi Health & Wellness Services
- Wpi Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.