Active NPI
Kathleen M Palm Reed, PH.D.
- Clinical Psychologist
- Worcester, MA
National Provider Identifier
1982817276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8740
- Practice address
- 950 Main Street
Worcester, MA 01610 - Phone
- (401) 455-6502
- Fax
- (401) 455-6424
- NPI assigned
- May 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS00971 | RI | |
| Clinical Psychologist | 103TC0700X | 8740 | MA | Primary |
Addresses
Primary practice location
950 Main Street
Worcester, MA 01610
Mailing address
34 Bigelow Rd
Southborough, MA 01772-1020
Phone (401) 474-2166
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS00971 | RI | MD | Clinical Psychologist |
| 8740 | MA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525996800000",
"number": "1982817276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 BIGELOW RD",
"city": "SOUTHBOROUGH",
"state": "MA",
"postal_code": "017721020",
"telephone_number": "401-474-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 MAIN STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01610",
"telephone_number": "401-455-6502",
"fax_number": "401-455-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALM REED",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2018-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS00971",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.