DR. JOSEPH EMILE MOLDOVER (NPI# 1144379561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144379561 |
Entity Type | Individual |
Full Name | DR. JOSEPH EMILE MOLDOVER |
Credential | PSY.D. |
Practice Address |
555 Washington Street Suite 5 Wellesley MA 02482-5996 |
Practice Telephone | 7812371735 |
Practice Fax Number | 7812371768 |
Mailing Telephone | 7812371735 |
Mailing Fax Number | 7812371768 |
Enumeration Date | 2007-01-09 |
Last Update Date | 2009-09-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 8256 | MA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BLUE CROSS PROVIDER NUMBE | W06378 | 01 |
Street Address |
555 WASHINGTON STREET SUITE 5 |
City | WELLESLEY |
State | MA |
Zip Code | 02482-5996 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679846836 | Joanne Levy Soolman | Dietitian, Registered | 555 Washington Street, Second Floor, Wellesley, MA 02482-5925 | 2012-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245830454 | Hope F. Schroy | Social Worker | 52 Cottage St, Wellesley, MA 02482 | 2020-10-27 |
1417586090 | Caroline Otoole | Pharmacist | 10 Thomas Rd, Wellesley, MA 02482 | 2020-04-06 |
1134767312 | Jordan David Moore | Specialist/Technologist | Boston Sports Institute, 900 Worcester St, Wellesley, MA 02482 | 2019-12-18 |
1386198422 | Bradford Richard Mattison | Dentist | 1 Hollis St Ste 340, Wellesley, MA 02482 | 2016-08-05 |
1245614957 | Alexandra Alexandra Rogers | Nurse Practitioner | 984 Worcester Street, Wellesley, MA 02482 | 2015-07-13 |
1467628347 | Marilyn D Feldman | Marriage & Family Therapist | 11 Turner Rd, Wellesley, MA 02482 | 2008-05-01 |
1093861668 | Joel Morris Prives | Dentist | 316 Weston Rd, Wellesley, MA 02482 | 2007-01-26 |
1679630826 | Richard H Stellar | Psychologist | 486 Washington Street, Wellesley, MA 02482 | 2007-01-03 |
1669540407 | Jane K Martin | Acupuncturist | Wellesley Acupuncture Center, 148 Linden Street - #104, Wellesley, MA 02482 | 2006-12-01 |
1568574788 | Kathleen Leah Macnaughton Rodrigue | Psychologist | 486 Washington St., Wellesley, MA 02482 | 2006-09-01 |
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Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255480596 | Mariela Vargas | Clinical Neuropsychologist | 110 Cedar Street, Suite 10, Wellesley, MA 02481-5323 | 2007-01-09 |
1174690085 | Lynn Cattanach | Clinical Neuropsychologist | 592a Washington St, Wellesley, MA 02481 | 2006-11-29 |
1831117993 | Ronna Fried | Clinical Neuropsychologist | 14 Mica Ln, Suite 3, Wellesley, MA 02481-1773 | 2006-07-17 |
1841245347 | Karen Sue Marans | Clinical Neuropsychologist | 481 Weston Rd, Wellesley, MA 02482-1157 | 2006-05-23 |
1154792158 | Lynn Chachkes | Clinical Neuropsychologist | 219 Washington St, Wellesley, MA 02481-3105 | 2015-10-15 |
1790004240 | Jeffrey David Drayer | Clinical Neuropsychologist | 555 Washington St, Suite #5, Wellesley, MA 02482-5996 | 2010-05-24 |
1093909749 | Susanne G. Dowdall | Clinical Neuropsychologist | 129 Washington St, Wellesley, MA 02481-3204 | 2007-09-05 |
1629291901 | Center for Neurointegrative Sevices Inc | Clinical Neuropsychologist | 42 Washington St, Suite 100, Wellesley, MA 02481-1803 | 2007-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154949873 | Erica Rose Appleman | Clinical Neuropsychologist | 134 Horace St, Boston, MA 02128-1581 | 2020-07-09 |
1578187613 | Nancy Schneider-pruett | Clinical Neuropsychologist | The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 | 2020-06-04 |
1194365312 | Erin Grace Kitchener | Clinical Neuropsychologist | 1 Wells Ave Fl 4, Newton, MA 02459-3211 | 2020-01-15 |
1407330509 | Coastal Psychological Center, LLC. | Clinical Neuropsychologist | 36 Woburn St Ste 6, Reading, MA 01867-2903 | 2018-09-24 |
1881102515 | Matthew S Conway | Clinical Neuropsychologist | 26 Chestnut St Ste 2e, Andover, MA 01810-3600 | 2018-01-16 |
1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
1346792637 | Margaret Alice Mcphee | Clinical Neuropsychologist | 29 Regina Dr, Chelmsford, MA 01824-4540 | 2016-11-02 |
1154870814 | Jessica Pan | Clinical Neuropsychologist | 1 Bowdoin St, 7th Floor, Boston, MA 02114-4201 | 2016-09-22 |
1508217506 | Donald Bearden | Clinical Neuropsychologist | 30 Iroquois St, Unit 33, Roxbury Crossing, MA 02120-2848 | 2016-06-30 |
1497115612 | Susan Magocsi | Clinical Neuropsychologist | 13 Meetinghouse Ln, Milton, MA 02186-2415 | 2016-03-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.