Active NPI
Patriot Elder Care, Inc.
- Counseling Psychologist
- Norwood, MA
National Provider Identifier
1154460897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 1962
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9712411 | Medicaid | MA | |
| W10477 | Other | MA | BCBSMA |
National Provider Directory
National Provider DirectoryNPI 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.