Active NPI
Andrew Dalton Grego, PH.D.
- Clinical Psychologist
- Quincy, MA
National Provider Identifier
1063176402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11610
- Practice address
- 460 Quincy Ave
Quincy, MA 02169-8130 - Phone
- (617) 847-1914
- NPI assigned
- Oct 22, 2021
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 11610 | MA | Primary |
Addresses
Primary practice location
460 Quincy Ave
Quincy, MA 02169-8130
Mailing address
460 Quincy Ave
Quincy, MA 02169-8130
Phone (617) 847-1914
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Multiple | Health Information Exchange (HIE) | SOUTH SHORE MENTAL HEALTH CENTER, INC. |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
89 Access Rd
Suite 24
Norwood, MA 02062-5233
Phone (781) 551-0999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11610 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Clinical | Current | Accepting new patients |
Locations
45 Shawmut Rd
Fl 3
Canton, MA 02021
89 Access Rd
Norwood, MA 02062
Phone 8888678840702
89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040
Organizations & group practices 1
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": "1634860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634860800000",
"number": "1063176402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 QUINCY AVE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021698130",
"telephone_number": "617-847-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 QUINCY AVE",
"city": "QUINCY",
"state": "MA",
"postal_code": "021698130",
"telephone_number": "617-847-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGO",
"first_name": "ANDREW",
"middle_name": "DALTON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-22",
"last_updated": "2021-10-22",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11610",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Multiple",
"affiliation": "Y",
"endpointDescription": "Endpoint includes multiple levels of security. Anti-virus programs. A secure network. Encryption. Defined network access control by user and more.",
"affiliationName": "SOUTH SHORE MENTAL HEALTH CENTER, INC.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "460 Quincy Ave",
"city": "Quincy",
"state": "MA",
"country_code": "US",
"postal_code": "021698130",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.