Active NPI
Rene S Psichos, PT
- Physical Therapist
- Dedham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8123
- Practice address
- 1 Lyons St
Dedham, MA 02026-5599 - Phone
- (781) 329-1400
- Fax
- (781) 278-5664
- NPI assigned
- Jun 30, 2005
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8123 | MA | Primary |
Addresses
Primary practice location
1 Lyons St
Dedham, MA 02026-5599
Mailing address
PO Box 9120
Dedham, MA 02027-9120
Phone (781) 329-1400
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600091 | Other | TUFTS COMMONWEALTH PPO | |
| 0311413 | Other | MASS HEALTH(DIV MED SVCS) | |
| 626254 | Other | HARVARD/PILGRIM | |
| 600091 | Other | TUFTS BENEFIT ADMIN. | |
| 626254 | Other | HARVARD PILGRIM PPO | |
| P00151293 | Other | RAILROAD MEDICARE | |
| Y67526 | Other | BS-BLUE CARE ELECT | |
| Y67526 | Other | HMO BLUE/BLUE CHOICE | |
| 6400216 | Other | UNITED HEALTHCARE | |
| 0016757 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 600091 | Other | TUFTS | |
| 626254 | Other | HARVARD PILGRIM POS | |
| 600091 | Other | TUFTS TOTAL HEALTH PLAN | |
| 626254 | Other | FIRST SENIORITY | |
| Y67526 | Other | BLUE SHIELD-INDEMNITY | |
| Y67526 | Other | BS-BLUE CARE 65 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Lyons St
Dedham, MA 02026-5599
Phone (781) 329-1400
133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8123 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atrius Health, Inc. | Physical Therapist | Current | Accepting new patients |
| Atrius Health, Inc. | Physical Therapist | Current | Accepting new patients |
| Atrius Health, Inc. | Current | Accepting new patients |
Locations
147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051
133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000
1 Lyons St
Dedham, MA 02026
Phone (781) 278-5511
Interoperability endpoints
- rpsichosdpt17418@direct.atrius.masshiway.net
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.
-
- Internal Medicine Physician
- Dedham, MA
- NPI 1306231519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1184621617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9120",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020279120",
"telephone_number": "781-329-1400",
"fax_number": "718-278-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LYONS ST",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020265599",
"telephone_number": "781-329-1400",
"fax_number": "781-278-5664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PSICHOS",
"first_name": "RENE",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-30",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "8123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS COMMONWEALTH PPO",
"identifier": "600091",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASS HEALTH(DIV MED SVCS)",
"identifier": "0311413",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD/PILGRIM",
"identifier": "626254",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS BENEFIT ADMIN.",
"identifier": "600091",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM PPO",
"identifier": "626254",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00151293",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS-BLUE CARE ELECT",
"identifier": "Y67526",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE/BLUE CHOICE",
"identifier": "Y67526",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "6400216",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0016757",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "600091",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM POS",
"identifier": "626254",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS TOTAL HEALTH PLAN",
"identifier": "600091",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST SENIORITY",
"identifier": "626254",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD-INDEMNITY",
"identifier": "Y67526",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS-BLUE CARE 65",
"identifier": "Y67526",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.