Individual provider Active NPI

Daphne Rollande Claudomir, M. ED.

  • Mental Health Counselor
  • Stoughton, MA
National Provider Identifier
1063714384
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
966 Park St Ste A2
Stoughton, MA 02072-3664
Phone
(781) 885-7530
NPI assigned
Nov 18, 2010
Last updated
Sep 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

966 Park St Ste A2
Stoughton, MA 02072-3664

Mailing address

PO Box 4414
Boynton Beach, FL 33424-4414
Phone (781) 885-7530

Other practice location 1

4 Frank Leary Way Unit 4
Randolph, MA 02368
Phone (781) 885-7530

Other practice location 2

1500 Gateway Blvd Ste 220
Boynton Beach, FL 33426-7233
Phone (781) 437-7507

Other practice location 3

5700 Lake Worth Rd Ste 106
Greenacres, FL 33463-3213
Phone (561) 727-8635

Other practice location 4

21 Mazzeo Dr Ste 102
Randolph, MA 02368-3448
Phone (781) 885-7530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240104004265 FL Practitioner - Mental Health Counselor 0244570752 Reassigns benefits to 2 organizations
I20240111002974 MA Practitioner - Mental Health Counselor 0244570752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

21 Mazzeo Dr
Suite 102
Randolph, MA 02368-3448
Phone (781) 437-7507

5700 Lake Worth Rd
Suite 106
Greenacres, FL 33463-3213
Phone (781) 437-7507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Behavioral Health Services, Inc. Counselor CurrentSince Jan 1, 2024 Accepting new patients
Randolph Behavioral Health Services, Inc. Mental Health CurrentSince Jan 11, 2017 Accepting new patients
Continuum Behavioral Health Services Counselor CurrentSince Nov 27, 2018 Accepting new patients
II Red Medical Group, LLC Current Accepting new patients

Locations

1500 Gateway Blvd
Ste 220
Boynton Beach, FL 33426
Phone (561) 499-1335

5700 Lake Worth Rd
Ste 106
Greenacres, FL 33463
Phone (561) 727-8635

21 Mazzeo Dr
Ste 102
Randolph, MA 02368
Phone (781) 437-7507

4 Frank Leary Way
#4
Randolph, MA 02368
Phone (781) 885-7530

4 Frank Leary Way
Unit 4
Randolph, MA 02368
Phone (781) 885-7530

966 Park St
Ste A2
Stoughton, MA 02072
Phone (781) 341-1000

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1063714384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4414",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334244414",
            "telephone_number": "781-885-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 PARK ST STE A2",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723664",
            "telephone_number": "781-885-7530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Frank Leary Way Unit 4",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "02368",
            "country_code": "US",
            "telephone_number": "781-885-7530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Gateway Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334267233",
            "country_code": "US",
            "telephone_number": "781-437-7507",
            "fax_number": "781-394-5884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Lake Worth Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334633213",
            "country_code": "US",
            "telephone_number": "561-727-8635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Mazzeo Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "023683448",
            "country_code": "US",
            "telephone_number": "781-885-7530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAUDOMIR",
        "first_name": "DAPHNE",
        "middle_name": "ROLLANDE",
        "credential": "M. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

Verify at the official NPI Registry.