Active NPI
Louise C.P. Fennell, PH.D.
- Clinical Psychologist
- Woburn, MA
National Provider Identifier
1942397914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-877
- Practice address
- 8 Cedar St Ste 43
Woburn, MA 01801-6362 - Phone
- (781) 538-5193
- NPI assigned
- Oct 9, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-877 | HI | Primary |
Addresses
Primary practice location
8 Cedar St Ste 43
Woburn, MA 01801-6362
Mailing address
8 Cedar St Ste 43
Woburn, MA 01801-6362
Phone (781) 538-5193
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2356137 | Other | HI | UHA |
| 0000250936 | Other | HI | HMSA |
| 56033501 | Medicaid | HI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-877 | HI | MD | Clinical Psychologist |
| 877 | HI | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1942397914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CEDAR ST STE 43",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016362",
"telephone_number": "781-538-5193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CEDAR ST STE 43",
"city": "WOBURN",
"state": "MA",
"postal_code": "018016362",
"telephone_number": "781-538-5193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENNELL",
"first_name": "LOUISE",
"middle_name": "C.P.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-09",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "PSY-877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "2356137",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000250936",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56033501",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.