Active NPI
Deborah Handler, OT
- Mental Health Occupational Therapist
- Waltham, MA
National Provider Identifier
1962289298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- License
- 2454
- Practice address
- Wayside Youth and Family Services
431 River St
Waltham, MA 02453 - Phone
- (781) 891-0555
- NPI assigned
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | 2454 | MA | Primary |
Addresses
Primary practice location
Wayside Youth and Family Services
431 River St
Waltham, MA 02453
Mailing address
Wayside Youth and Family Services
431 River St
Waltham, MA 02453
Phone (781) 891-0555
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2454 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayside Youth and Family Support Network | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Framingham, MA
- NPI 1851484505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1962289298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WAYSIDE YOUTH AND FAMILY SERVICES",
"address_2": "431 RIVER ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02453",
"telephone_number": "781-891-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WAYSIDE YOUTH AND FAMILY SERVICES",
"address_2": "431 RIVER ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "02453",
"telephone_number": "781-891-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDLER",
"first_name": "DEBORAH",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-11",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "MA",
"license": "2454",
"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 Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.