Active NPI
Caroline Anne Thies, PHD.
- Psychologist
- Needham, MA
National Provider Identifier
1902995541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 7495
- Practice address
- 232 Garden St
Needham, MA 02492-2321 - Phone
- (781) 718-1101
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 7495 | MA | Primary |
Addresses
Primary practice location
232 Garden St
Needham, MA 02492-2321
Mailing address
34 Ledyard Rd
Winchester, MA 01890-4039
Phone (781) 729-1101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 16, 2024 through Oct 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7495 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1902995541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 LEDYARD RD",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018904039",
"telephone_number": "781-729-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 GARDEN ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024922321",
"telephone_number": "781-718-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIES",
"first_name": "CAROLINE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "7495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.