Individual provider Active NPI

Elaine Mary Sweeney, PH. D.

  • Clinical Psychologist
  • Shrewsbury, MA
National Provider Identifier
1912950262
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
#7889 Issued in MA
Practice address
298 Boston Tpke
Suite 10
Shrewsbury, MA 01545-3871
Phone
(508) 363-4332
Fax
(508) 842-2968
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

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 #7889 MA Primary

Addresses

Primary practice location

298 Boston Tpke
Suite 10
Shrewsbury, MA 01545-3871

Mailing address

190 S Quinsigamond Ave
Unit 204
Shrewsbury, MA 01545-4270
Phone (508) 842-2968

Other identifiers 2

IdentifierTypeStateIssuer
7889OtherMAMA PSYCHOLOGY LICENSE
WO6358OtherMABCBSMA INDEMNITY PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
#7889MAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912950262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S QUINSIGAMOND AVE",
            "address_2": "UNIT 204",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454270",
            "telephone_number": "508-842-2968",
            "fax_number": "508-842-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 BOSTON TPKE",
            "address_2": "SUITE 10",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453871",
            "telephone_number": "508-363-4332",
            "fax_number": "508-842-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "ELAINE",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "#7889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA  PSYCHOLOGY LICENSE",
            "identifier": "7889",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA INDEMNITY PROVIDER",
            "identifier": "WO6358",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.