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Deactivated NPI 1720148075 Deactivated / Inactive NPI Male Practitioner

Dr. Maurice P. Eldridge , PhD

Psychologist - Clinical • Needham, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Maurice Eldridge has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 09, 2006
NPI Deactivation Date July 06, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Maurice Eldridge, PhD was a registered Psychologist - Clinical practicing in Needham, MA. Throughout an active medical career spanning 16 years, Dr. Eldridge provided care at the practice location at 1700 GREAT PLAIN AVE until profile deactivation on 2022-07-06.

Practice Location & Contact Primary Location

Practice Address

1700 Great Plain Ave

Needham, MA 024921212

Telephone 7814445713

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Needham, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.6 Yrs
State Avg: 29.5 Yrs
Regional Practice Density
39 Specialists

Practicing in Needham, MA (3327 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License MA 2657

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dale Eldridge , LICSW

Social Worker - Clinical

NPI 1972096204

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated July 06, 2022

Record deactivated on July 06, 2022

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Updated Practice Location September 16, 2020

Registered at 223 ASPEN CIR, LINCOLN, MA 017734920 (Tel: 7814445713)

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Updated Business Mailing Address September 16, 2020

Registered at 223 ASPEN CIR, LINCOLN, MA 017734920 (Tel: 7814445713)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1700 GREAT PLAIN AVE, NEEDHAM, MA 024921212 (Tel: 7814445713)

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Updated Business Mailing Address July 08, 2007

Registered at 1700 GREAT PLAIN AVE, NEEDHAM, MA 024921212 (Tel: 7814445713)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MAURICE ELDRIDGE, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #2657 in MA)

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Initial NPI Registration & Enumeration December 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720148075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2006
Last Update: July 08, 2007
Deactivation Date: July 06, 2022

Mailing Address

1700 Great Plain Ave

Needham, MA 024921212

Phone: 7814445713

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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