Active NPI
Barry E. Roy, ED.D.
- Counseling Psychologist
- Fitchburg, MA
National Provider Identifier
1972539906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2702
- Practice address
- 76 Summer St
Suite 215
Fitchburg, MA 01420-5783 - Phone
- (978) 342-3826
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2702 | MA | Primary |
Addresses
Primary practice location
76 Summer St
Suite 215
Fitchburg, MA 01420-5783
Mailing address
4 Goodridge Dr
P.O.Box 375
Westminster, MA 01473-1325
Phone (978) 342-3826
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 |
|---|---|---|---|
| 2702 | MA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972539906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 GOODRIDGE DR",
"address_2": "P.O.BOX 375",
"city": "WESTMINSTER",
"state": "MA",
"postal_code": "014731325",
"telephone_number": "978-342-3826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 SUMMER ST",
"address_2": "SUITE 215",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014205783",
"telephone_number": "978-342-3826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "BARRY",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "2702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, 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.