Individual provider Active NPI

Deborah Ann Walsh, PSY.D.

  • Clinical Psychologist
  • Stoneham, MA
National Provider Identifier
1871602516
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6000 Issued in MA
Practice address
271 Main St
Suite 205
Stoneham, MA 02180-3591
Phone
(781) 438-5550
Fax
(781) 438-5553
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6000 MA Primary

Addresses

Primary practice location

271 Main St
Suite 205
Stoneham, MA 02180-3591

Mailing address

271 Main St
Suite 205
Stoneham, MA 02180-3591
Phone (781) 438-5550

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
I20120614000775 MA Practitioner - Clinical Psychologist 3072777457 Practice locations: Woburn, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Woburn, MA 01801
Phone (781) 664-9636

348 Cambridge Rd
Suite 102
Woburn, MA 01801-6037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871602516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 MAIN ST",
            "address_2": "SUITE 205",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803591",
            "telephone_number": "781-438-5550",
            "fax_number": "781-438-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MAIN ST",
            "address_2": "SUITE 205",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803591",
            "telephone_number": "781-438-5550",
            "fax_number": "781-438-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoneham, MA

Sources for this page

Verify at the official NPI Registry.