Active NPI
Daniel Picciotto, M.A.
- Psychologist
- Lynn, MA
National Provider Identifier
1184845141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 103 Johnson St
Lynn, MA 01902-4001 - Phone
- (781) 593-2727
- Fax
- (781) 593-2542
- NPI assigned
- May 1, 2007
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
103 Johnson St
Lynn, MA 01902-4001
Mailing address
12 Alton St
Arlington, MA 02474-5218
Phone (781) 593-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184845141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 ALTON ST",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024745218",
"telephone_number": "781-593-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 JOHNSON ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019024001",
"telephone_number": "781-593-2727",
"fax_number": "781-593-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICCIOTTO",
"first_name": "DANIEL",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynn, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.