DR. FAY REICH PSY.D. NPI 1629121751

NPI Information

NPI: 1629121751
Provider Name: DR. FAY REICH, PSY.D.
Classification: Psychologist - 103TA0700X
Entity Type: Individual

Specialization: Adult Development & Aging

PECOS Registration: Yes

Address:
21 EDISON AVE
#2
MEDFORD, MA
ZIP 02155
Phone: (781) 391-0780
Get Directions

DR. Fay Reich, PSY.D. is an adult development and aging psychologist in Medford, MA with 28 years of experience. The provider is a psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later life. Professional geropsychology appreciates the wide diversity among older adults, the complex ethical issues that can arise in geriatric practice and the importance of interdisciplinary models of care. DR. Fay Reich, PSY.D. NPI is 1629121751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21 EDISON AVE
#2
MEDFORD, MA
ZIP 02155-829
Phone: (781) 391-0780

The NPI 1629121751 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/20/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TA0700X	Psychologist	Adult Development & Aging	7360	MASSACHUSETTS	Yes
2	103TB0200X	Psychologist	Cognitive & Behavioral	7360	MASSACHUSETTS	X
3	103TC0700X	Psychologist	Clinical	7360	MASSACHUSETTS	X
4	103TC2200X	Psychologist	Clinical Child & Adolescent	7360	MASSACHUSETTS	X
5	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	7360	MASSACHUSETTS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W50286	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	0526819	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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