Thomas Wahlund, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10355 Issued in MA

Practice address

77 Valley Rd
Southampton, MA 01073-9532

Phone

(413) 341-0342

Fax

(866) 277-1901

NPI assigned

Jul 9, 2009

Last updated

Aug 26, 2021By the provider in NPPES

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

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

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bending Reeds Counseling, LLC

  • Clinical Psychologist
  • Southampton, MA
  • NPI 1710333018
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1881823037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VALLEY RD",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739532",
            "telephone_number": "724-840-1226",
            "fax_number": "866-277-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VALLEY RD",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739532",
            "telephone_number": "413-341-0342",
            "fax_number": "866-277-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHLUND",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-09",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southampton Pediatrics, LLC
• Southampton School District
• Wadim Timakov, PHARMD
• Town of Southampton (Southampton Ambulance)
• Town of Southampton
• Walgreen Co (Walgreens #17885)
• Jerry P Will Sr., DISPENSING OPTICIAN
• Michael James Wilson, PHARM D
• Michelle Zemba, LMT

• Clinical Psychologist in Southampton, MA
• Providers in Southampton, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.