Provider Demographics
NPI:1124240734
Name:DR. RACHEL LASCHEVER MOVITZ, PSY.D.
Entity type:Organization
Organization Name:DR. RACHEL LASCHEVER MOVITZ, PSY.D.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:LASCHEVER
Authorized Official - Last Name:MOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:781-640-0900
Mailing Address - Street 1:P.O. BOX 628
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886
Mailing Address - Country:US
Mailing Address - Phone:781-640-0900
Mailing Address - Fax:978-486-9516
Practice Address - Street 1:198 GROTON ROAD
Practice Address - Street 2:SUITE 2
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432
Practice Address - Country:US
Practice Address - Phone:781-640-0900
Practice Address - Fax:978-486-9516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8263103TA0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & AgingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1859731Medicaid
MAW06374OtherBCBS
MAW06374OtherBCBS