Active NPI
Donna Jean Ricci, PSYD
- Psychologist
- Brookline, MA
National Provider Identifier
1144379181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6774
- Practice address
- 1863 Beacon St
Suite One
Brookline, MA 02445 - Phone
- (617) 738-2900
- Fax
- (617) 738-2903
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 6774 | MA | Primary |
Addresses
Primary practice location
1863 Beacon St
Suite One
Brookline, MA 02445
Mailing address
1863 Beacon St
Suite One
Brookline, MA 02445
Phone (617) 738-2900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 797709 | Other | MA | TUFTS |
| W05495 | Other | MA | BCBS |
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 |
|---|---|---|---|---|
| I20101021000918 | MA | Practitioner - Clinical Psychologist | 5597958611 | Practice locations: Newburyport, 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
Practice addresses (Care Compare)
45 Oakland St
Unit B
Newburyport, MA 01950-2125
Phone (617) 461-0461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6774 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144379181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1863 BEACON ST",
"address_2": "SUITE ONE",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02445",
"telephone_number": "617-738-2900",
"fax_number": "617-738-2903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1863 BEACON ST",
"address_2": "SUITE ONE",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02445",
"telephone_number": "617-738-2900",
"fax_number": "617-738-2903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCI",
"first_name": "DONNA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "6774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "797709",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W05495",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.