Dr Peter E Yaffe PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR PETER E YAFFE PC

Practice address

327D Boston Post Rd
Wayside Counseling Associates
Sudbury, MA 01776-3001

Phone

(978) 443-4262

Fax

(978) 443-4262

NPI assigned

Feb 8, 2006

Organization subpart

No

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

Authorized official

Name

Peter Elliot Yaffe, PHDNPI 1649242504

Title

Owner President

Phone

(978) 443-4262

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Wayside Counseling Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Elliot Yaffe, PH.D.

  • Cognitive & Behavioral Psychologist
  • Sudbury, MA
  • NPI 1649242504
  Medicare reassignment Care Compare group NPD Authorized official
• Carol Lee Steinberg, PHD

  • Cognitive & Behavioral Psychologist
  • Sudbury, MA
  • NPI 1477528719
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821061193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327D BOSTON POST RD",
            "address_2": "WAYSIDE COUNSELING ASSOCIATES",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763001",
            "telephone_number": "978-443-4262",
            "fax_number": "978-443-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327D BOSTON POST RD",
            "address_2": "WAYSIDE COUNSELING ASSOCIATES",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763001",
            "telephone_number": "978-443-4262",
            "fax_number": "978-443-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PETER E YAFFE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAFFE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "978-443-4262",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5619043",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "757593",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MASS",
            "identifier": "W10369",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "1011850",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayside Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Janice Marie Eardley

• Psychologist in Sudbury, MA
• Providers in Sudbury, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.