Organization Active NPI

Patriot Elder Care, Inc.

  • Counseling Psychologist
  • Norwood, MA
National Provider Identifier
1154460897
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1962 Issued in MA
Legal business name
PATRIOT ELDER CARE, INC.
Practice address
5 Walpole St
Norwood, MA 02062-3351
Phone
(508) 246-6493
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Mr. Joesph A Schembri Jr., EDD
Title
Licensed Psychologist
Phone
(508) 246-6493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 1962 MA Primary

Addresses

Primary practice location

5 Walpole St
Norwood, MA 02062-3351

Mailing address

239 Causeway St
Medfield, MA 02052-2900
Phone (508) 246-6493

Other identifiers 2

IdentifierTypeStateIssuer
9712411MedicaidMA
W10477OtherMABCBSMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1154460897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 CAUSEWAY ST",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020522900",
            "telephone_number": "508-246-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WALPOLE ST",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020623351",
            "telephone_number": "508-246-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT ELDER CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "SCHEMBRI",
        "authorized_official_first_name": "JOESPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "508-246-6493",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "1962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9712411",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "W10477",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.