Individual provider Active NPI

Kasie Iodice, PSY. D.

  • Clinical Psychologist
  • Cambridge, MA
National Provider Identifier
1033662143
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
11432 Issued in MA
Practice address
2000 Massachusetts Ave Ste 4
Cambridge, MA 02140-2100
Phone
(781) 430-8381
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 11432 MA Primary

Addresses

Primary practice location

2000 Massachusetts Ave Ste 4
Cambridge, MA 02140-2100

Mailing address

2000 Massachusetts Ave Ste 4
Cambridge, MA 02140-2100
Phone (781) 430-8381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128000609 MA Practitioner - Clinical Psychologist 8325452642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youth Opportunities Upheld IncGroup PAC ID 9638190374, 15 clinicians

Practice addresses (Care Compare)

135 Gold Star Blvd
Worcester, MA 01606-2738
Phone (508) 459-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11432MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Iodice Psychological Services Current Accepting new patients
Youth Opportunities Upheld, Inc. CurrentSince Jan 25, 2021 Accepting new patients

Locations

2000 Massachusetts Ave
Ste 4
Cambridge, MA 02140
Phone (617) 447-4435

81 Plantation St
Worcester, MA 01604
Phone (508) 890-6519

135 Gold Star Blvd
Worcester, MA 01606
Phone (508) 459-6400

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/youinc/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1033662143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MASSACHUSETTS AVE STE 4",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402100",
            "telephone_number": "781-430-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MASSACHUSETTS AVE STE 4",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021402100",
            "telephone_number": "781-430-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IODICE",
        "first_name": "KASIE",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.