Individual provider Active NPI

Thomas Chiodetti, ED.D.

  • School Psychologist
  • Falmouth, MA
National Provider Identifier
1124186986
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
PSYCHOLOGIST6705 Issued in MA
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
W05410OtherMABCBS
198339OtherMAMHN
0525383MedicaidMA
007980OtherMAVALUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 2961667498, 19 clinicians

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

LicenseStateTypeSpecialty
PSYCHOLOGIST6705MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psych Services, LLC CurrentSince Jun 12, 2017 Accepting new patients
Medoptions Behavioral Health Assoc, LLC Past Accepting new patients
Neurobehavioral Associates III, Inc PastSince May 25, 1999 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.

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

Verify at the official NPI Registry.