Individual provider Active NPI

Aladdin Ossorio

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1225392103
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10900-PY-PR Issued in MA
Practice address
21 Worcester SQ Apt 1
Boston, MA 02118-2939
Phone
(617) 918-7195
NPI assigned
Jun 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Health Psychologist 103TH0004X 10900-PY-PR MA
Clinical Psychologist 103TC0700X 10900-PY-PR MA Primary

Addresses

Primary practice location

21 Worcester SQ Apt 1
Boston, MA 02118-2939

Mailing address

21 Worcester SQ Apt 1
Boston, MA 02118-2939
Phone (617) 918-7195

Other identifiers 1

IdentifierTypeStateIssuer
10900-PY-PROtherMAMA LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10900-PY-PRMAMDHealth Psychologist
10900MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sagemind LLC Clinical CurrentSince Nov 1, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1225392103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WORCESTER SQ APT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182939",
            "telephone_number": "617-918-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WORCESTER SQ APT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182939",
            "telephone_number": "617-918-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSSORIO",
        "first_name": "ALADDIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-26",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "MA",
            "license": "10900-PY-PR",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10900-PY-PR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LICENSE NUMBER",
            "identifier": "10900-PY-PR",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.