Active NPI
Gail Ann Racicot, EDD
- Psychologist
- Shrewsbury, MA
National Provider Identifier
1255422770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4893
- Practice address
- 250 Boston Turnpike
Shrewsbury, MA 01545 - Phone
- (508) 752-7514
- Fax
- (508) 842-5676
- NPI assigned
- Sep 28, 2006
- Last updated
- Dec 3, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4893 | MA | Primary |
Addresses
Primary practice location
250 Boston Turnpike
Shrewsbury, MA 01545
Mailing address
PO Box 541 Mo
250 Boston Turnpike
Shrewsbury, MA 01545
Phone (508) 752-7514
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120206000865 | MA | Practitioner - Clinical Psychologist | 1557528338 | Practice locations: Shrewsbury, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
250 Boston Tpke
Shrewsbury, MA 01545-5265
Gail a Racicot Edd
250 Boston Turnpike
Shrewsbury, MA 01545-5265
Phone (508) 752-7514
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4893 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322870400000",
"number": "1255422770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 541 MO",
"address_2": "250 BOSTON TURNPIKE",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "01545",
"telephone_number": "508-752-7514",
"fax_number": "508-842-5676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BOSTON TURNPIKE",
"city": "SHREWSBURY",
"state": "MA",
"postal_code": "01545",
"telephone_number": "508-752-7514",
"fax_number": "508-842-5676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACICOT",
"first_name": "GAIL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2011-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shrewsbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2011; 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.