Active NPI
Thomas Chiodetti, ED.D.
- School Psychologist
- Falmouth, MA
National Provider Identifier
1124186986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- PSYCHOLOGIST6705
- Practice address
- 350 Gifford St
Suite 13
Falmouth, MA 02540-2918 - Phone
- (508) 457-7222
- Fax
- (508) 540-5148
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSYCHOLOGIST6705 | MA | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | PSYCHOLOGIST6705 | MA | |
| Adult Development & Aging Psychologist | 103TA0700X | PSYCHOLOGIST6705 | MA | |
| Counseling Psychologist | 103TC1900X | PSYCHOLOGIST6705 | MA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSYCHOLOGIST6705 | MA | |
| Exercise & Sports Psychologist | 103TE1100X | PSYCHOLOGIST6705 | MA | |
| Family Psychologist | 103TF0000X | PSYCHOLOGIST6705 | MA | |
| Group Psychotherapy Psychologist | 103TP2701X | PSYCHOLOGIST6705 | MA | |
| School Psychologist | 103TS0200X | PSYCHOLOGIST6705 | MA | Primary |
Addresses
Primary practice location
350 Gifford St
Suite 13
Falmouth, MA 02540-2918
Mailing address
350 Gifford St
Suite 13
Falmouth, MA 02540-2918
Phone (508) 457-7222
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W05410 | Other | MA | BCBS |
| 198339 | Other | MA | MHN |
| 0525383 | Medicaid | MA | |
| 007980 | Other | MA | VALUE OPTIONS |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070801000309 | MA | Practitioner - Clinical Psychologist | 3870684111 |
Reassigns benefits to 1 organization Practice locations: Bellingham, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advanced Psych Services LLC
Practice addresses (Care Compare)
425 Lake Ave N
Suite 101
Worcester, MA 01605-2073
Phone (508) 753-3220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYCHOLOGIST6705 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Psych Services, LLC | Current | Accepting new patients | |
| Medoptions Behavioral Health Assoc, LLC | Past | Accepting new patients | |
| Neurobehavioral Associates III, Inc | Past | Accepting new patients |
Locations
425 Lake Ave N
Ste 101
Worcester, MA 01605
Phone (508) 753-3220
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Worcester, MA
- NPI 1750648689
MA
-
- Geriatric Psychiatry Physician
- Weymouth, MA
- NPI 1205926946
-
- Nurse Practitioner
- Old Saybrook, CT
- NPI 1588604060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1124186986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 GIFFORD ST",
"address_2": "SUITE 13",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025402918",
"telephone_number": "508-457-7222",
"fax_number": "508-540-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 GIFFORD ST",
"address_2": "SUITE 13",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "025402918",
"telephone_number": "508-457-7222",
"fax_number": "508-540-5148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIODETTI",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "PSYCHOLOGIST6705",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "PSYCHOLOGIST6705",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "MA",
"license": "PSYCHOLOGIST6705",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MA",
"license": "PSYCHOLOGIST6705",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "PSYCHOLOGIST6705",
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": "MA",
"license": "PSYCHOLOGIST6705",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MA",
"license": "PSYCHOLOGIST6705",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "MA",
"license": "PSYCHOLOGIST6705",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "PSYCHOLOGIST6705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W05410",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "198339",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0525383",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "007980",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.