David W Harder, PH.D.
Individual provider Active NPI Clinical Psychologist · Lincoln, MA
NPI 1801973227 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1801973227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 2323 (MA)
- Practice address
- 112 S Great Rd
Lincoln, MA 01773-4700 - Phone
- (781) 259-8122
- Fax
- (781) 259-3739
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
112 S Great Rd
Lincoln, MA 01773-4700
Phone (781) 259-8122
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040729001063 | MA | Practitioner - Clinical Psychologist | 5193795813 | Practice locations: Lincoln, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2323 | MA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2323 | MA | Yes |
Addresses
Primary practice location
112 S Great Rd
Lincoln, MA 01773-4700
Mailing address
112 S Great Rd
Lincoln, MA 01773-4700
Phone (781) 259-8122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W02492 | Other | MA | BLUE CROSS/BLUE SHIELD ID |
| 2323 | Other | MA | MA PSYCHOLOGISTLICENSEHSP |
| 170817 | Other | MA | AMISYS/MAGELLAN PROVIDER# |
Other providers in Lincoln, MA
- Claire Gerstein
- Deborah Fay Greenwald
- Joanne Hadlock
- Virgina Hamilton
- Juliette Marie Hannan
- Lorli Loomis Hardigg
- Suzanne Harmon
- Eric A Harris
- Henry F Harrison
- Heather Hodder
All providers in Lincoln, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.