Healthcare Provider Details

I. General information

NPI: 1154499424
Provider Name (Legal Business Name): NORAH K HASS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2006
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 MASSACHUSETTS AVE
ARLINGTON MA
02474-6745
US

IV. Provider business mailing address

77 RUMFORD AVE KEY PROGRAM
WALTHAM MA
02453-3872
US

V. Phone/Fax

Practice location:
  • Phone: 617-388-4967
  • Fax: 781-894-1195
Mailing address:
  • Phone: 781-894-4325
  • Fax: 781-894-1195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8664
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: