Roger F. Abdell, ED.D
Individual provider Active NPI Clinical Psychologist · Newton Centre, MA
NPI 1225110281 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1225110281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1094 (MA)
- Practice address
- 93 Union St
Suite 301
Newton Centre, MA 02459-2244 - Phone
- (617) 964-1042
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1094 | MA | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1094 | MA | Yes |
Addresses
Primary practice location
93 Union St
Suite 301
Newton Centre, MA 02459-2244
Mailing address
93 Union Street
Suite 301
Newton Centre, MA 02459-2241
Phone (617) 964-1042
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W01003 | Other | MA | BLUE CROSS / BLUE SHEILD |
Other providers in Newton Centre, MA
- Ira David Adelman
- Salvatore Angelo II
- Cynthia Louise Ardito Fields
- Steven Roy Bader
- Baek Dental, P.C.
All providers in Newton Centre, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.