Active NPI
Diana P. Paolitto, ED.D.
- Psychologist
- Cambridge, MA
National Provider Identifier
1104064435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4194
- Practice address
- 147 Lexington Ave
Cambridge, MA 02138-3369 - Phone
- (617) 547-3060
- Fax
- (617) 547-2633
- NPI assigned
- Jan 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4194 | MA | Primary |
Addresses
Primary practice location
147 Lexington Ave
Cambridge, MA 02138-3369
Mailing address
147 Lexington Ave
Cambridge, MA 02138-3369
Phone (617) 547-3060
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4194 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1104064435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 LEXINGTON AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021383369",
"telephone_number": "617-547-3060",
"fax_number": "617-547-2633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 LEXINGTON AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021383369",
"telephone_number": "617-547-3060",
"fax_number": "617-547-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAOLITTO",
"first_name": "DIANA",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.