DR. MARY W HUMPHREY (NPI# 1104887298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104887298 |
| Entity Type | Individual |
| Full Name | DR. MARY W HUMPHREY |
| Credential | PH.D. |
| Practice Address |
258 Main St Suite 3 Medfield MA 02052-2041 |
| Practice Telephone | 5083592570 |
| Practice Fax Number | 5083590175 |
| Mailing Telephone | 5083592570 |
| Mailing Fax Number | 5083590175 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2012-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
8150 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922382621 | Mary Humphrey | Speech-Language Pathologist | 111 Welsh Dr, Camillus, NY 13031-1855 | 2011-09-30 |
| 1740412618 | Mary Dawn Humphrey | Behavioral Analyst | 520 Se 5th Ave Apt 1211, Fort Lauderdale, FL 33301-2953 | 2009-08-11 |
| 1073650982 | Mary Elizabeth Humphrey | Speech-Language Pathologist | 114 Willow Forks Dr, Simpsonville, SC 29681-5971 | 2007-01-31 |
| 1235237728 | Mary Beth Humphrey | Internal Medicine | 941 Stanton L Young Blvd, Bseb 306e, Oklahoma City, OK 73104-5019 | 2006-09-20 |
| 1013941525 | Mary L Humphrey | Registered Nurse | 1003 Shirley Ave, Douglas, GA 31533-2123 | 2006-07-10 |
| 1992778625 | Mary C Humphrey | Nurse Anesthetist, Certified Registered | 815 Freeport Rd, Pittsburgh, PA 15215-3301 | 2006-02-13 |
| Street Address |
258 MAIN ST SUITE 3 |
| City | MEDFIELD |
| State | MA |
| Zip Code | 02052-2041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104338649 | Kadie Yannone | Social Worker | 258 Main St, Medfield, MA 02052-2041 | 2017-10-24 |
| 1134665656 | Melissa Vogt | Social Worker | 258 Main St, Suite 7, Medfield, MA 02052-2041 | 2017-01-08 |
| 1508312422 | Aba Behavior Solutions | Behavioral Analyst | 258 Main St, Suite 2, Medfield, MA 02052-2041 | 2016-08-31 |
| 1245417286 | Jacqueline Mellissa Vorpahl | Psychologist | 258 Main St, Suite 3, Medfield, MA 02052-2041 | 2008-01-22 |
| 1588721294 | Vorpahl Psycholgy Associates, LLC | Psychologist | 258 Main St, Suite 3, Medfield, MA 02052-2041 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821552118 | Laura Desrosiers | Behavioral Analyst | 18 Cottage St, Medfield, MA 02052 | 2019-01-30 |
| 1780166967 | Linda G. Kipper | Social Worker | 31 Marlyn Road, Medfield, MA 02052 | 2018-09-04 |
| 1891167185 | Hannah Charren-diehl | Social Worker | 266 Main St Ste 3, Medfield, MA 02052 | 2015-10-26 |
| 1528497377 | Michelle Laura Tristani | Speech-Language Pathologist | 10 Carmen Circle, Medfield, MA 02052 | 2013-11-02 |
| 1366723215 | Marissa Lee Maki | Counselor | 258 Main Street Suite 7, Medfield, MA 02052 | 2011-09-06 |
| 1518152693 | Amy Rose Sager | Dietitian, Registered | 29 Spring St. # 3, Medfield, MA 02052 | 2007-09-11 |
| 1134341670 | Medfield Eye Care | Eyewear Supplier (Equipment, not the service) | 55 North Street, Medfield, MA 02052 | 2007-05-03 |
| 1215006929 | Stephen Joseph Rosenman | Internal Medicine | 5 North Meadow Road, Medfield, MA 02052 | 2006-11-07 |
| 1306824594 | Maura E Shaughnessy | Family Medicine | 50 North Street, Medfield, MA 02052 | 2006-01-06 |
| 1437150158 | Beth S Ralston | Nurse Anesthetist, Certified Registered | 19 Haven Rd, Medfield, MA 02052 | 2005-08-03 |
| Find all providers in zip 02052 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275631541 | Anne B Kearney | Psychologist | 7 Carmen Cir, Medfield, MA 02052-2801 | 2006-09-20 |
| 1932209533 | Albert James Kearney | Psychologist | 7 Carmen Cir, Medfield, MA 02052-2801 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000703 | Jonathan Inz Phd LLC | Psychologist | 100 Cummings Ctr Ste 453, Beverly, MA 01915-6115 | 2020-10-14 |
| 1114524337 | T Psychological Services Professional LLC | Psychologist | 305 Avalon Dr, Bedford, MA 01730-2067 | 2020-10-01 |
| 1235746934 | Alexandra R Nelson Phd | Psychologist | 46 Gerald Rd, Milton, MA 02186-4769 | 2020-09-26 |
| 1396359154 | Theresa Mary Brasier | Psychologist | 25 Birch St Ste A, Milford, MA 01757-3585 | 2020-08-31 |
| 1154934685 | David S Sugarbaker | Psychologist | 1015 Brook Rd, Milton, MA 02186-4114 | 2020-08-25 |
| 1114537131 | Annemarie Baldauf, Psyd, Pllc | Psychologist | 49 Hancock St Ste 104, Cambridge, MA 02139-3188 | 2020-08-04 |
| 1801406103 | Barbara Kellogg Gannon | Psychologist | 30 Western Ave Ste 209, Gloucester, MA 01930-3664 | 2020-08-03 |
| 1992314330 | Deborah Cohen | Psychologist | 25 State St Fl 26, Boston, MA 02109-2700 | 2020-07-30 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1487271664 | Thoughtful Psychiatry, P.C. | Psychologist | 20 W Emerson St Lowr Level, Melrose, MA 02176-3137 | 2020-07-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MARY W HUMPHREY.
| 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.