Organization Active NPI

New England Psychological Services LLC

  • Clinical Psychologist
  • Marlborough, MA
National Provider Identifier
1952958639
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NEW ENGLAND PSYCHOLOGICAL SERVICES LLC
Practice address
2 Mount Royal Ave Ste 208
Marlborough, MA 01752-1976
Phone
(508) 485-4856
Fax
(866) 332-4290
NPI assigned
Aug 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard L Nardine, PSYD
Title
Owner
Phone
(508) 308-7116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2 Mount Royal Ave Ste 208
Marlborough, MA 01752-1976

Mailing address

2 Mount Royal Ave Ste 208
Marlborough, MA 01752-1976
Phone (508) 485-4856

Other identifiers 2

IdentifierTypeStateIssuer
W04028MedicaidMA
1659450724OtherINDIVIDUAL NPI

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.therapynotes.com Health Information Exchange (HIE)
Other URL www.therapynotes.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2 Mount Royal Ave
Ste 208
Marlborough, MA 01752
Phone (508) 485-4856

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1952958639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MOUNT ROYAL AVE STE 208",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521976",
            "telephone_number": "508-485-4856",
            "fax_number": "866-332-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MOUNT ROYAL AVE STE 208",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521976",
            "telephone_number": "508-485-4856",
            "fax_number": "866-332-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "NARDINE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-308-7116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W04028",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659450724",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "scheduling, billing software with apt reminders",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Mount Royal Ave Ste 208",
            "city": "Marlborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017521976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "billing, scheduling, appt reminders",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Mount Royal Ave Ste 208",
            "city": "Marlborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017521976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.