Individual provider Active NPI

Alexandra K Rolde, M.D.

  • Psychiatry Physician
  • Weston, MA
National Provider Identifier
1124075858
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
28567 Issued in MA
Practice address
27 Fields Pond Rd
Weston, MA 02493-1904
Phone
(781) 894-2177
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 28567 MA Primary

Addresses

Primary practice location

27 Fields Pond Rd
Weston, MA 02493-1904

Mailing address

27 Fields Pond Rd
Weston, MA 02493-1904
Phone (781) 894-2177

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314000545 MA Practitioner - Psychiatry 9537114517 Practice locations: Weston, MA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1124075858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 FIELDS POND RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931904",
            "telephone_number": "781-894-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 FIELDS POND RD",
            "city": "WESTON",
            "state": "MA",
            "postal_code": "024931904",
            "telephone_number": "781-894-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLDE",
        "first_name": "ALEXANDRA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "28567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, MA

Sources for this page

Verify at the official NPI Registry.