Individual provider Active NPI

Emily Brooke Hotz, M.A., PSY.D.

  • Clinical Psychologist
  • Waltham, MA
National Provider Identifier
1972903250
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10653 Issued in MA
Practice address
40 Crescent St Ste 201
Waltham, MA 02453-4313
Phone
(781) 317-1000
NPI assigned
Aug 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10653 MA Primary

Addresses

Primary practice location

40 Crescent St Ste 201
Waltham, MA 02453-4313

Mailing address

40 Crescent St Ste 201
Waltham, MA 02453-4313

Other practice location 1

81 Plantation St
Worcester, MA 01604-3069
Phone (508) 849-5600

Other practice location 2

92 Montvale Ave Ste 2450
Stoneham, MA 02180-3662
Phone (781) 646-0500

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
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Hotz PSYD LLC CurrentSince Nov 15, 2020 Accepting new patients

Locations

40 Crescent St
Ste 201
Waltham, MA 02453
Phone (617) 538-8242

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.

NPI Registry JSON

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

{
    "created_epoch": "1408838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1972903250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CRESCENT ST STE 201",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CRESCENT ST STE 201",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534313",
            "telephone_number": "781-317-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Plantation St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016043069",
            "country_code": "US",
            "telephone_number": "508-849-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "92 Montvale Ave Ste 2450",
            "address_purpose": "LOCATION",
            "city": "Stoneham",
            "state": "MA",
            "postal_code": "021803662",
            "country_code": "US",
            "telephone_number": "781-646-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOTZ",
        "first_name": "EMILY",
        "middle_name": "BROOKE",
        "credential": "M.A., PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-24",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10653",
            "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 Nov 9, 2020; 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.