DR. MIRIAM ROSE WALDHETER PHD
NPI 1154551257
Psychologist - Clinical in Wellesley, MA

Active since July 23, 2009Opted out of Medicare · through Mar 16, 2027
18 GROVE ST STE 9, WELLESLEY, MA 02482(617) 819-4707 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Miriam Rose Waldheter Phd NPPES

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

DR. MIRIAM ROSE WALDHETER PHD (NPI 1154551257) is an individual clinical provider in Wellesley, Massachusetts, licensed in Massachusetts (9726) and active in the NPI registry since July 2009. She has opted out of Medicare through March 16, 2027.

NPPES Registry Identity

NPI1154551257
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MIRIAM ROSE WALDHETERCredential: PHD
Location Address18 GROVE ST STE 9Wellesley, MA 02482-7705
Mailing Address18 Grove St Ste 9Wellesley, MA 02482-7705 · (617) 819-4707
Sole ProprietorNo
Enumeration DateJuly 23, 2009
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
NPI 1154551257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MA · 9726
Definition

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.

18 GROVE ST STE 9, Wellesley, MA 02482

Other Names 1

Former Name (1)Dr. Miriam Rose Frankel Phd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Miriam Rose Waldheter Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 16, 2023 through March 16, 2027.

Opt-Out Effective DateMarch 16, 2023
Opt-Out In Effect ThroughMarch 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154551257, enumerated as an "individual" on July 23, 2009.

The provider is located at 18 GROVE ST STE 9 WELLESLEY, MA 02482 and the phone number is (617) 819-4707.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.