Active NPI
Frank C Sacco Jr., PSY.D.
- Clinical Psychologist
- Dorchester, MA
National Provider Identifier
1245523687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11894
- Practice address
- 1100 Washington St Ste 206
Dorchester, MA 02124-5538 - Phone
- (413) 426-6009
- NPI assigned
- May 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 11894 | MA | Primary |
Addresses
Primary practice location
1100 Washington St Ste 206
Dorchester, MA 02124-5538
Mailing address
1695 Main St FL 400
Springfield, MA 01103-1063
Phone (413) 739-9972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1695 Main St
FL 400
Springfield, MA 01103-1063
Phone 4137395572101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Services Institute, Inc. | Current | Accepting new patients |
Locations
1100 Washington St
Ste 206
Dorchester Center, MA 02124
Phone (617) 325-2993
1695 Main St
Fl 400
Springfield, MA 01103
Phone (413) 739-5572
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, MA
- NPI 1255450631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1245523687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 MAIN ST FL 400",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031063",
"telephone_number": "413-739-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WASHINGTON ST STE 206",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021245538",
"telephone_number": "413-426-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACCO",
"first_name": "FRANK",
"middle_name": "C",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-18",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.