Individual provider Active NPI

Courtney Jean McHugh, PSY.D.

  • Psychologist
  • Salem, MA
National Provider Identifier
1790950129
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8708 Issued in MA
Practice address
27 Congress St
Suite 305-25
Salem, MA 01970-7309
Phone
(781) 584-6385
Fax
(781) 584-6280
NPI assigned
Apr 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8708 MA Primary
Psychologist 103T00000X PS016546 PA

Addresses

Primary practice location

27 Congress St
Suite 305-25
Salem, MA 01970-7309

Mailing address

27 Congress St
Suite 305-25
Salem, MA 01970-7309
Phone (781) 584-6385

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
I20231002003249 MA Practitioner - Clinical Psychologist 7517021363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
North Shore Medical Center, Inc.Group PAC ID 3274427570, 44 clinicians

Practice addresses (Care Compare)

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 741-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8708MAMDPsychologist
PS016546PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pathology Partners, P.C. Current Accepting new patients
North Shore Medical Center, Inc. CurrentSince Aug 6, 2023 Accepting new patients
North Shore Medical Center, Inc. CurrentSince Aug 6, 2023 Accepting new patients
Elderly Care Counseling Services LLC Psychologist Past Accepting new patients

Locations

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1209254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1790950129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CONGRESS ST",
            "address_2": "SUITE 305-25",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707309",
            "telephone_number": "781-584-6385",
            "fax_number": "781-584-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CONGRESS ST",
            "address_2": "SUITE 305-25",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707309",
            "telephone_number": "781-584-6385",
            "fax_number": "781-584-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHUGH",
        "first_name": "COURTNEY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-27",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "8708",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.