Organization · Type 2 NPI

Meditelecare of Massachusetts, PLLC

Clinical Psychologist · Boston, MA

NPI number 1003496506 Active

Practice location

84 State St
Boston, MA 02109-2202

Call (860) 788-6404 Map

Fax (860) 829-0495

Mailing address

PO Box 1595
Middletown, CT 06457-8095

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed
Clinical Social Worker 1041C0700XNone listed
Psychiatry Physician 2084P0800XNone listed
Geriatric Psychiatry Physician 2084P0805XNone listed
Nurse Practitioner 363L00000XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Clinical Psychologist: 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 discip…

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About NPI 1003496506

Meditelecare of Massachusetts, PLLC's National Provider Identifier is 1003496506, issued on Apr 9, 2021. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Boston, MA. The record was last updated on May 5, 2025.