| NPI | 1114019064 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-09-29 |
| Last Updated | 2014-01-28 |
| Mailing Address | 1 Brookline Pl Ste 105, Arnold-Warfield Pain Ctr, Beth Israel Deaconess Med Ctr Brookline, MA 02445-7294 United States Phone: (617) 278-8000 | Fax: (617) 278-8065 📍 View Map |
| Primary Practice Address | 1 Brookline Pl Ste 105, Arnold-Warfield Pain Ctr, Beth Israel Deaconess Med Ctr Brookline, MA 02445-7294 United States Phone: (617) 278-8000 | Fax: (617) 278-8065 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 103TC0700X – Psychologist, Clinical | MA | 6223 |
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About NPI 1114019064
Raymond Joshua Wootton PH.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114019064. The primary specialty listed is Psychologist, Clinical. The provider is located in Brookline, MA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114019064?
NPI 1114019064 belongs to Raymond Joshua Wootton PH.D., a Psychologist, Clinical in Brookline, MA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114019064 active?
The current status of NPI 1114019064 in the NPPES registry is Active. The record was last updated on 2014-01-28.
What specialty is NPI 1114019064?
NPI 1114019064 is classified under the taxonomy Psychologist, Clinical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114019064?
You can verify NPI 1114019064 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114019064?
The primary practice address on file for NPI 1114019064 is 1 Brookline Pl Ste 105, Brookline, MA 02445-7294. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114019064 issued?
NPI 1114019064 was first issued (enumerated) on 2006-09-29. The NPPES record was last updated on 2014-01-28.
Practice Location Map
Raymond Joshua Wootton is located at 1 Brookline Pl Ste 105, Brookline, MA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Raymond Joshua Wootton. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1114019064. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Psychologist, Clinical | 6223 | MA |