DR. FAY REICH (NPI# 1629121751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629121751 |
| Entity Type | Individual |
| Full Name | DR. FAY REICH |
| Credential | PSY.D. |
| Practice Address |
21 Edison Ave #2 Medford MA 02155-5829 |
| Practice Telephone | 7813910780 |
| Mailing Telephone | 7813910780 |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
7360 | MA | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
7360 | MA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
7360 | MA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
7360 | MA | Behavioral Health & Social Service Providers |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
7360 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0526819 | 05 |
| Street Address |
21 EDISON AVE #2 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-5829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528221793 | Jean Winnifred Powell | Psychologist | 56 N Main St Ste 327, Bennett Bldg, Fall River, MA 02720-2132 | 2008-07-08 |
| 1831211853 | Marie Lamto | Psychologist | 872 Mass Ave Ste 2-1, Cambridge, MA 02139-3072 | 2007-04-03 |
| 1356462857 | Suzanne Harmon | Psychologist | 172 Trapelo Rd, Lincoln, MA 01773-2904 | 2007-04-02 |
| 1114071784 | Brenda Miriam Steinberg | Psychologist | 63 Washington Ave, Cambridge, MA 02140-2716 | 2007-01-22 |
| 1710055108 | Neil Berger | Psychologist | 83 Brush Hill Rd, Great Barrington, MA 01230-1447 | 2006-12-01 |
| 1497788491 | Rachel L Movitz | Psychologist | 198 Groton Rd Ste 2, Ayer, MA 01432-1177 | 2006-07-10 |
| 1831652866 | Annkatrine Liegmann Gates | Psychologist | 545 Concord Ave, Cambridge, MA 02138-1125 | 2019-04-08 |
| 1750749149 | Leadership Psychology Services Inc | Psychologist | 747 Main St, Suite #319, Concord, MA 01742-3302 | 2016-02-01 |
| 1538530472 | Michael J Cassella | Psychologist | 747 Main St, Suite 319, Concord, MA 01742-3302 | 2015-10-19 |
| 1033585245 | Leslie Zebrowitz | Psychologist | 415 South St, Brandeis University Department of Psychology Ms 062, Waltham, MA 02453-2728 | 2015-08-12 |
| Find all providers with the same taxonomy | ||||
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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.