Healthcare Provider Details

I. General information

NPI: 1225104532
Provider Name (Legal Business Name): NORTH WORCESTER PSYCHOLOGICAL CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 ADAMS ST
FITCHBURG MA
01420-3228
US

IV. Provider business mailing address

32 ADAMS ST
FITCHBURG MA
01420-3228
US

V. Phone/Fax

Practice location:
  • Phone: 978-342-4344
  • Fax:
Mailing address:
  • Phone: 978-342-4344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number4663
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number4663
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4663
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number4663
License Number StateMA
# 5
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number4663
License Number StateMA

VIII. Authorized Official

Name: DR. SCOTT NELSON ANDREWS
Title or Position: DIRECTOR
Credential: PH.D.
Phone: 978-342-4344