MS. LAURA GRACE MATLACK (NPI# 1366698102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366698102 |
| Entity Type | Individual |
| Full Name | MS. LAURA GRACE MATLACK |
| Credential | PSY.D. |
| Practice Address |
11 Chapel Pl Wellesley MA 02481-3130 |
| Mailing Address |
16 Magnolia Ave # 1 Cambridge MA 02138-3217 |
| Practice Telephone | 7812354950 |
| Mailing Telephone | 6176861392 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2011-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
9366 | MA | Behavioral Health & Social Service Providers |
| Street Address |
11 CHAPEL PL |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481-3130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750301966 | Human Relations Service, Inc | Psychologist | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2006-07-20 |
| 1154932861 | Madeline Liakos | Social Worker | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2020-08-14 |
| 1861022865 | Lucas Baker-siroty | Psychologist | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2020-01-19 |
| 1497152508 | Alexandra Parkinson | Psychologist | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2014-12-04 |
| 1194125781 | Kiley Gottschalk | Counselor | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2014-09-02 |
| 1891195038 | Tracey L Hurd | Psychologist | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2014-08-25 |
| 1598184541 | Christopher David Shutzer | Social Worker | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2014-04-07 |
| 1750665386 | Allison Collins Ertl | Counselor | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2011-09-30 |
| 1134438807 | Lindsay Mahoney Segar | Psychologist | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2010-09-29 |
| 1952551152 | Lilith G. C. Sinha | Social Worker | 11 Chapel Pl, Wellesley, MA 02481 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205328572 | Dennis Barr | Psychologist | 554 Washington St Ste 12, Wellesley, MA 02482-6473 | 2018-06-03 |
| 1497244479 | Dennis J Ceru | Psychologist | 25 Damien Rd, Wellesley, MA 02481-3404 | 2018-05-06 |
| 1942621636 | Julie Lee | Psychologist | 3 Frost Cir, Wellesley, MA 02482-2336 | 2013-12-23 |
| 1548579949 | Tammy M Bean | Psychologist | 8 Grove St Ste 300, Wellesley, MA 02482-7739 | 2010-10-02 |
| 1962648477 | Mitchell Robert Bornstein | Psychologist | 260 Wellesley Ave, Wellesley, MA 02481-6809 | 2009-01-05 |
| 1033366224 | Sarah R Karytko | Psychologist | 8 Grove St Ste 402, Wellesley, MA 02482-7798 | 2008-08-19 |
| 1689893547 | Ann Hagan Webb | Psychologist | 303 Worcester St, Wellesley, MA 02481-5339 | 2007-04-25 |
| 1679630826 | Richard H Stellar | Psychologist | 486 Washington Street, Wellesley, MA 02482 | 2007-01-03 |
| 1457410706 | Patricia M Conway | Psychologist | 8 Grove Street, Suite 303, Wellesley, MA 02482-7777 | 2006-12-06 |
| 1811055494 | Sharon L Baker | Psychologist | 39 Emerson Rd, Wellesley, MA 02481-3410 | 2006-12-05 |
| 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.