Individual provider Active NPI

Christopher Joseph Tecce, PHD

  • Psychologist
  • Newton, MA
National Provider Identifier
1083623102
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7845 Issued in MA
Practice address
1172 Beacon St
Ste 101
Newton, MA 02461-1147
Phone
(617) 332-1881
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7845 MA Primary

Addresses

Primary practice location

1172 Beacon St
Ste 101
Newton, MA 02461-1147

Mailing address

1172 Beacon St
Ste 101
Newton, MA 02461-1147
Phone (617) 332-1881

Other identifiers 2

IdentifierTypeStateIssuer
W06080OtherBLUE CROSS BLUE SHIELD
371212OtherMAGELLAN

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
I20070512000025 MA Practitioner - Clinical Psychologist 2062519887 Practice locations: Newton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

173 Mount Auburn St
Watertown, MA 02472-4005
Phone (617) 332-1881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7845MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Newton-Wellesley Eating Disorders & Behavioral Medicine PastSince Feb 16, 2010 Accepting new patients
Newton-Wellesley Behavioral Medicine & Eating Disorders Past Accepting new patients

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1083623102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 BEACON ST",
            "address_2": "STE 101",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611147",
            "telephone_number": "617-332-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 BEACON ST",
            "address_2": "STE 101",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611147",
            "telephone_number": "617-332-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TECCE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W06080",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "371212",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.