DR. ROXANNE VAN DE WATER ED.D.
NPI 1083776389
Psychologist in Marlborough, MA

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
340 MAPLE ST, 4TH FLOOR, MARLBOROUGH, MA 01752(508) 485-9300(508) 485-6904 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Roxanne Van De Water Ed.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROXANNE VAN DE WATER ED.D. (NPI 1083776389) is an individual psychologist in Marlborough, Massachusetts, licensed in Massachusetts (7930) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1083776389
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ROXANNE VAN DE WATERCredential: ED.D.
Location Address340 MAPLE ST, 4TH FLOORMarlborough, MA 01752-3200
Mailing Address1 Clarks Hl, Suite 305Framingham, MA 01702-8172 · (508) 628-6606 · Fax (508) 626-0326
Fax(508) 485-6904
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1083776389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 7930
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

340 MAPLE ST, Marlborough, MA 01752

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Roxanne Van De Water Ed.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527159433
PECOS Enrollment IDI20081209000105
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
340 MAPLE ST, SUITE 203
MARLBOROUGH, MA 01752
Psychologist (Clinical)
340 MAPLE ST
MARLBOROUGH, MA 01752
Counselor (Mental Health)
340 MAPLE ST
MARLBOROUGH, MA 01752
Counselor (Mental Health)
340 MAPLE ST, 4TH FLOOR
MARLBOROUGH, MA 01752
Counselor
340 MAPLE ST
MARLBOROUGH, MA 01752
Podiatrist
340 MAPLE ST, SUITE 405
MARLBOROUGH, MA 01752
Nurse Practitioner (Adult Health)
340 MAPLE ST
MARLBOROUGH, MA 01752
Counselor (Addiction (Substance Use Disorder))
340 MAPLE ST, SUITE 400
MARLBOROUGH, MA 01752

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roxanne Van De Water's NPI number?

The NPI number for Roxanne Van De Water is 1083776389. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Roxanne Van De Water located?

Roxanne Van De Water practices at 340 Maple St 4th Floor, Marlborough, MA 01752. The listed phone number is (508) 485-9300.

What is Roxanne Van De Water's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Roxanne Van De Water enrolled in Medicare?

Yes. Roxanne Van De Water is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Roxanne Van De Water accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Roxanne Van De Water as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roxanne Van De Water was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.