Ethan Aaron Eisdorfer, PSYD
Clinical Psychologist · Worcester, MA
Ethan Aaron Eisdorfer, PSYD is a clinical psychologist with a practice address in Worcester, Massachusetts, and NPI 1083864946, issued on Sep 26, 2008. Check the license (Massachusetts 11368, as entered in NPPES) with the Massachusetts board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ethan Aaron Eisdorfer
- Credential
- PSYD
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 11368 MA
Self-reported in NPPES; status is on the state search - Practice location
- 55 Lake Ave N, Worcester, MA 01655
- Phone
- (508) 334-2731
- Enumerated
- Sep 26, 2008
- Record last updated
- Mar 5, 2025
- Fax
- (774) 442-4672
- Medicare enrollment
- Enrolled (PECOS I20210201000663); accepts Medicare assignment
- Medical or professional school
- Rutgers New Jersey Medical School, 2018
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 3,185 in Massachusetts → Look up another NPI →
Also registered at 55 Lake Ave N
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Ethan Aaron Eisdorfer in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Massachusetts board licenses this profession
Search for license 11368Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Umass Memorial Medical Group IncWorcester, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ethan Aaron Eisdorfer among 3,185 clinical psychologist records in Massachusetts
Ethan Aaron Eisdorfer, PSYD is one of 3,185 clinical psychologist records with a practice address in Massachusetts. 12% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 50% of them.
- NPI issued2008 · 50% of these records are older, 45% newer
- In a Medicare fileYes · 12% of these records are
- In the CMS Doctors and Clinicians fileYes · 24% of these records are
- Graduated2018 · median 2000 among the 777 with a school on file
- Record last updated2025 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
160 clinical psychologist records list a practice address in Worcester
They are 160 of the 13,166 NPPES records with a practice address in Worcester, and 3,185 clinical psychologist records in Massachusetts.
All 3,185 in Massachusetts → Every provider in Worcester → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Aimee Asgarian, PSY.D.Worcester, MA 016551942262894
- Geri Fuhrmann, PSY.DWorcester, MA 016551023082120
- Marie Fusaro-Davis, PH.D.Worcester, MA 016551063486165
- William Garrison, PH.D.Worcester, MA 016551427037258
- Jessica Griffin, PSY.DWorcester, MA 016551780602912
- Charles Hamad, PH.D.Worcester, MA 016551861417891
- Jurgen Kedesdy, PH.D.Worcester, MA 016551760460190
- Jennifer Lauretti-Robbins, PHDWorcester, MA 016551164440384
Common questions
What is Ethan Aaron Eisdorfer, PSYD's NPI number?
Ethan Aaron Eisdorfer, PSYD's National Provider Identifier (NPI) is 1083864946, issued on Sep 26, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Ethan Aaron Eisdorfer, PSYD located?
The NPPES record lists a practice address at 55 Lake Ave N, Worcester, MA, 01655. Phone: (508) 334-2731. Providers update this record themselves, so call before visiting.
How can I verify Ethan Aaron Eisdorfer, PSYD's license?
NPPES lists Massachusetts license number 11368, as entered by the provider. Search the Massachusetts board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.