Individual provider Active NPI

Deven M Mavani, PSY.D

  • Psychologist
  • Norwood, MA
National Provider Identifier
1851652861
Registry record updated Sep 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
45 Walpole St Ste 6
Norwood, MA 02062-3319
Phone
(781) 769-1646
NPI assigned
Jun 6, 2012
Last updated
Sep 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

45 Walpole St Ste 6
Norwood, MA 02062-3319

Mailing address

45 Walpole St Ste 6
Norwood, MA 02062-3319
Phone (781) 769-1646

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
I20200312001680 MA Practitioner - Clinical Psychologist 6305104266 Reassigns benefits to 1 organization
Practice locations: Norwood, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

45 Walpole St
Suite 6
Norwood, MA 02062-3319
Phone (781) 769-1646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11244MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neponset Valley Neuropsychology, LLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

45 Walpole St
Ste 6
Norwood, MA 02062
Phone (781) 769-1646

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536969600000",
    "number": "1851652861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WALPOLE ST STE 6",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623319",
            "telephone_number": "781-769-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WALPOLE ST STE 6",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623319",
            "telephone_number": "781-769-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVANI",
        "first_name": "DEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2018-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

Verify at the official NPI Registry.