Individual provider Active NPI

Linda M Cavallero, PH.D.

  • Clinical Psychologist
  • Shrewsbury, MA
National Provider Identifier
1023009792
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3268 Issued in MA
Practice address
415 Boston Tpke Ste 312
Shrewsbury, MA 01545-3446
Phone
(508) 845-2305
Fax
(508) 845-2307
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3268 MA Primary

Addresses

Primary practice location

415 Boston Tpke Ste 312
Shrewsbury, MA 01545-3446

Mailing address

415 Boston Tpke Ste 312
Shrewsbury, MA 01545-3446
Phone (508) 845-2305

Other identifiers 1

IdentifierTypeStateIssuer
0512745MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1023009792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BOSTON TPKE STE 312",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453446",
            "telephone_number": "508-845-2305",
            "fax_number": "508-845-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BOSTON TPKE STE 312",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453446",
            "telephone_number": "508-845-2305",
            "fax_number": "508-845-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLERO",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0512745",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.