DR. MAUREEN KELLY MCCORMICK (NPI# 1235290560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235290560 |
| Entity Type | Individual |
| Full Name | DR. MAUREEN KELLY MCCORMICK |
| Other Name | DR. MAUREEN (BETSY) KELLY MCCORMICK |
| Credential | PSY.D |
| Practice Address |
592a Washington St Wellesley MA 02482-6417 |
| Mailing Address |
26 Plain Street Wayland MA 01778 |
| Practice Telephone | 5087367796 |
| Mailing Telephone | 5083586366 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6334 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BL | W05172 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Chapel Pl, Wellesley, MA 024813130 | 7812354950 | 7812357176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548623531 | Maureen Mccormick | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-03-29 |
| 1912318890 | Maureen Mccormick | Physician Assistant | 1026 A Ave Ne, Cedar Rapids, IA 52402 | 2014-05-14 |
| 1891071742 | Maureen Anne Mccormick | Social Worker | 9860 Sw Hall Blvd, Suite C2, Tigard, OR 97223-8896 | 2011-10-24 |
| 1043364045 | Maureen Eleonora Mccormick | Psychologist | 1330 Beacon St, Ste 203, Brookline, MA 02446-3202 | 2007-01-23 |
| 1912923822 | Maureen R Mccormick | Nurse Practitioner | 5201 Willow Springs Rd, Suite 130, Lagrange, IL 60525 | 2006-07-14 |
| Street Address |
592A WASHINGTON ST |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02482-6417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174690085 | Lynn Cattanach | Clinical Neuropsychologist | 592a Washington St, Wellesley, MA 02481 | 2006-11-29 |
| 1063613917 | Maureen Linnane Branch | Social Worker | 592a Washington St, Wellesley, MA 02482-6417 | 2007-05-29 |
| 1598984783 | Kimberly Davis Gatof | Psychologist | 592a Washington St, Wellesley, MA 02482-6417 | 2007-04-25 |
| 1346465580 | Catherine Ives Cornell | Social Worker | 592a Washington St, Wellesley, MA 02482-6417 | 2007-04-14 |
| 1740403351 | Kelley Bothe | Social Worker | 592a Washington St, Wellesley, MA 02482-6417 | 2007-04-11 |
| 1861515314 | Patricia Joy Riseman | Social Worker | 592a Washington St, Wellesley, MA 02482-6417 | 2007-04-09 |
| 1407990641 | Kenneth L. Sipe | Social Worker | 592a Washington St, Wellesley, MA 02482-6417 | 2007-02-19 |
| 1215078225 | Julie A Ramsey | Social Worker | 592a Washington St, Wellesley, MA 02482-6417 | 2007-02-11 |
| 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 |
| Find all providers in zip 02482 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1518276849 | Emily Kaufman | Psychologist | 345 Washington St, Suite 221, Wellesley, MA 02481 | 2010-10-05 |
| 1295951945 | Pamela Maureen Slater | Psychologist | 17 Farm Rd # 1, Wellesley, MA 02482-6600 | 2007-04-18 |
| 1275666372 | Regina Patricia Watts | Psychologist | 7 Middlesex St, Wellesley, MA 02482-7021 | 2007-03-14 |
| 1487787313 | Stephen Prior | Psychologist | 358 Washington St, Rear, Wellesley, MA 02481-6206 | 2007-03-13 |
| 1649358151 | Isabel Catherine Murphy | Psychologist | 148 Linden St Ste 103, Wellesley, MA 02482-7915 | 2006-11-01 |
| 1891895025 | Deborah Issokson | Psychologist | 12 Mica Ln, Wellesley, MA 02481-1702 | 2006-09-25 |
| 1336168715 | Deborah S Cole | Psychologist | 892 Worcester St, Ste. 230, Wellesley, MA 02482-3718 | 2006-07-18 |
| 1396712204 | Daniel Stone Jaquette | Psychologist | 11 River Street, Wellesley, MA 02481-2098 | 2006-03-01 |
| 1982679031 | Leslie Weiser | Psychologist | 45 Oakland St, Wellesley, MA 02481-5336 | 2006-02-22 |
| Find all providers in WELLESLEY | ||||
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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.