DR. EILEEN TARA CREHAN (PHD) – Clinical Psychologist, NPI 1487228912

DR. EILEEN TARA CREHAN (PHD) is a healthcare provider. based in Medford, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PSY11596 (MA). The NPI Number for DR. EILEEN TARA CREHAN (PHD) is 1487228912

Main info

Female
Sole Proprietor
10 Years Of Experience
Name
DR. EILEEN TARA CREHAN (PHD)
NPI
1487228912
Phone
(508) 446-7248
Address
44 Bower St Unit 1
Enumeration Date
19 May 2021
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2016 (10 years ago)
PAC ID
5395251433
Professional Enrollment ID
I20250724000202
Address ID
MA022410000BOPOXXXBOXX200
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

Provider Addresses for DR. EILEEN TARA CREHAN (PHD)

  • 44 Bower St Unit 1

    Medford, MA 021553662

    Phone: (508) 446-7248

    Type: Location

  • 44 BOWER ST UNIT 1

    MEDFORD, MA 021553662

    Phone: (508) 446-7248

    Type: Mailing

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Type: Mailing

  • 55 LAKE AVE N

    WORCESTER, MA 016550002

    Phone: (774) 442-3028

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250724000202IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02155)

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Reviews

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Frequently asked questions

Does DR. EILEEN TARA CREHAN (PHD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. EILEEN TARA CREHAN (PHD) uses 1487228912.
Is DR. EILEEN TARA CREHAN (PHD) listed as active for patients and plans?
The listing shows DR. EILEEN TARA CREHAN (PHD) as active in the NPI system.
What taxonomy line describes DR. EILEEN TARA CREHAN (PHD)?
For research purposes, treat DR. EILEEN TARA CREHAN (PHD) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. EILEEN TARA CREHAN (PHD) based?
DR. EILEEN TARA CREHAN (PHD) is tied to Medford, Massachusetts in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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