CLARE T HUMPHREYS


Address: 100 Century Dr, Worcester, MA 01606-1244
Phone: 0853346392

CLARE T HUMPHREYS (NPI# 1639306467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639306467
Entity Type Individual
Full Name CLARE T HUMPHREYS
Credential PH.D.
Practice Address 100 Century Dr
Worcester
MA 01606-1244
Mailing Address Po Box 415348
Boston
MA 02241-5348
Practice Telephone 0853346392
Practice Fax Number 7744416072
Mailing Telephone 8002258885
Mailing Fax Number 5083341977
Enumeration Date 2009-06-19
Last Update Date 2020-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist 0376 NH Behavioral Health & Social Service Providers
Y 103G00000X Clinical Neuropsychologist 9562 MA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical 		9562 MA Behavioral Health & Social Service Providers

Office Location

Street Address 100 CENTURY DR
City WORCESTER
State MA
Zip Code 01606-1244

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831180686 Alan P. Brown Psychiatry & Neurology 100 Century Dr, Worcester, MA 01606-1244 2005-11-01
1710596499 Christopher Catalfamo Psychologist 100 Century Dr, Worcester, MA 01606-1244 2020-07-28
1609404607 Lily Gracewood Millen Student in an Organized Health Care Education/Training Program 100 Century Dr, Worcester, MA 01606-1244 2020-03-27
1184251332 Alexandra Elizabeth Pumilia Student in an Organized Health Care Education/Training Program 100 Century Dr, Worcester, MA 01606-1244 2020-03-26
1003446782 Kara Naylon Psychologist 100 Century Dr, Worcester, MA 01606-1244 2020-01-22
1154884963 Ines Basten Student in an Organized Health Care Education/Training Program 100 Century Dr, Worcester, MA 01606-1244 2019-04-09
1124509534 Vera Alejandra Klinoff Clinical Neuropsychologist 100 Century Dr, Worcester, MA 01606-1244 2018-08-23
1346728748 T Massachusetts, LLC Psychiatric Hospital 100 Century Dr, Worcester, MA 01606-1244 2018-07-30
1316432917 Alessia Ritacco Nurse Practitioner 100 Century Dr, Worcester, MA 01606 2018-06-26
1629578885 Christopher Parmanand Nurse Practitioner 100 Century Dr, Worcester, MA 01606-1244 2018-02-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548742612 Aishea Irine Henry Counselor 29 E. Mountian St., Worccester, MA 01606 2018-09-05
1932689874 Donna Kesler Pearce Social Worker Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 2018-08-20
1689169914 Ashley Kalel Social Worker 151 W Boylston Dr, Worcester, MA 01606 2018-06-28
1588189039 Michael Joseph Peters Sr. Counselor 56 Malden St, Worcester, MA 01606 2017-08-06
1811418528 Shan Rai Social Worker 29 East Mountain Street, Worcester, MA 01606 2017-07-03
1639608045 Kim Marie Ceccarini Case Manager/Care Coordinator 11 Delaval Rd, Worcester, MA 01606 2017-06-08
1669806139 Lauren Giuliano Counselor 392 Burncoat St, Worcester, MA 01606 2013-09-02
1508132911 Joshua D Zierler-broudo Social Worker 29 East Mountain St, Worcester, MA 01606 2012-03-29
1609096098 Alternatives Unlimited Inc Day Training, Developmentally Disabled Services 367 Burncoat Street, Worcester, MA 01606 2007-04-26
1407908213 Class One Orthodontic Asso LLC Dentist 365 Burncoat St, Worcester, MA 01606 2007-01-18
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609866581 Michael Cirillo Clinical Neuropsychologist 469 Chandler St, Worcester, MA 01602-2529 2005-10-24
1316930142 Sheree L Estes Clinical Neuropsychologist 189 May St, Worcester, MA 01602-4339 2005-08-26
1124509534 Vera Alejandra Klinoff Clinical Neuropsychologist 100 Century Dr, Worcester, MA 01606-1244 2018-08-23
1962957043 Erika L. Clark Clinical Neuropsychologist 100 Century Dr, Worcester, MA 01606-1244 2016-08-18
1811314396 Rachel Mintz Clinical Neuropsychologist 55 Lake Ave N, Worcester, MA 01655-0002 2014-03-24
1184063711 Elizabeth Reese Clinical Neuropsychologist 100 Century Dr, Worcester, MA 01606 2013-06-17
1053480822 Elizabeth White Henrikson Clinical Neuropsychologist 309 Belmont St, Worcester, MA 01604 2006-11-07
1568543569 David A Kent Clinical Neuropsychologist 189 May St, Worcester, MA 01602-4339 2006-10-17
1396764692 Jeffrey Jay Gaines Clinical Neuropsychologist 50 Elm St, Suite 6, Worcester, MA 01609-2574 2006-07-18
1679533277 Bertha-elena Rojas Clinical Neuropsychologist 469 Chandler St, Worcester, MA 01602-2529 2006-03-27
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Competitor

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City WORCESTER
Zip Code 01606

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Dataset Information

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.

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