Raymond Benedict Flannery Jr., PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

549 Issued in MA

Practice address

305 Belmont St
Worcester, MA 01604-1681

Phone

(508) 368-3517

Fax

(508) 363-1512

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881743268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WESTCHESTER RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582519",
            "telephone_number": "617-969-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041681",
            "telephone_number": "508-368-3517",
            "fax_number": "508-363-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANNERY",
        "first_name": "RAYMOND",
        "middle_name": "BENEDICT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W10596",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Flaminio, RBT
• Lynne Flanagan Tsombakos, MA
• Katie Flanagan, PA-C
• Kelly Elizabeth Flanagan, MD MS
• Paula Flanagan, GNP
• Rhiannon Flass, DPT
• Chelsea A Fleck, DNP, FNP-C
• Michelle L Fleck, CCC-A
• Amy Fleischer, MS, OTR/L
• Pamela Fleischmann

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.