Active NPI
Elizabeth Harrah McEnany, PSY.D.
- Clinical Psychologist
- Waltham, MA
National Provider Identifier
1942537360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9210
- Practice address
- 1430 Main St
JF&CS, Center for Early Relationship Support
Waltham, MA 02451-1623 - Phone
- (781) 693-5673
- Fax
- (781) 693-5736
- NPI assigned
- Nov 5, 2009
- 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 | 9210 | MA | Primary |
Addresses
Primary practice location
1430 Main St
JF&CS, Center for Early Relationship Support
Waltham, MA 02451-1623
Mailing address
1430 Main St
JF&CS, Center for Early Relationship Support
Waltham, MA 02451-1623
Phone (781) 693-5673
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1942537360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 MAIN ST",
"address_2": "JF&CS, CENTER FOR EARLY RELATIONSHIP SUPPORT",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511623",
"telephone_number": "781-693-5673",
"fax_number": "781-693-5736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 MAIN ST",
"address_2": "JF&CS, CENTER FOR EARLY RELATIONSHIP SUPPORT",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024511623",
"telephone_number": "781-693-5673",
"fax_number": "781-693-5736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCENANY",
"first_name": "ELIZABETH",
"middle_name": "HARRAH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-05",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waltham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.