Active NPI
Vednidhi Tiwari Teeruthroy, M.S
- Marriage & Family Therapist
- Randolph, MA
National Provider Identifier
1023497963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 400 N Main St
Randolph, MA 02368-4104 - Phone
- (815) 408-0359
- NPI assigned
- May 26, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
400 N Main St
Randolph, MA 02368-4104
Mailing address
400 N Main St
Randolph, MA 02368-4104
Phone (815) 408-0359
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1023497963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684104",
"telephone_number": "815-408-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MAIN ST",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684104",
"telephone_number": "815-408-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEERUTHROY",
"first_name": "VEDNIDHI",
"middle_name": "TIWARI",
"name_prefix": "Mr.",
"credential": "M.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-26",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.