Active NPI
Tara Lynn Palmeri, PH. D.
- Psychologist
- Woburn, MA
National Provider Identifier
1811223886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 10680
- Practice address
- 12 Alfred St Ste 200
Woburn, MA 01801-1915 - Phone
- (781) 646-0500
- NPI assigned
- Oct 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | 10680 | MA | Primary |
Addresses
Primary practice location
12 Alfred St Ste 200
Woburn, MA 01801-1915
Mailing address
37 Beech St
North Chelmsford, MA 01863-2006
Phone (607) 725-5040
Other practice location 1
340 Main St
Worcester, MA 01608-1604
Phone (607) 725-5040
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10680 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1811223886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 BEECH ST",
"city": "NORTH CHELMSFORD",
"state": "MA",
"postal_code": "018632006",
"telephone_number": "607-725-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 ALFRED ST STE 200",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011915",
"telephone_number": "781-646-0500"
}
],
"practiceLocations": [
{
"address_1": "340 Main St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016081604",
"country_code": "US",
"telephone_number": "607-725-5040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMERI",
"first_name": "TARA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "10680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.