Active NPI
Bruce Albert Alessio, MED CAGS
- Psychologist
- Westwood, MA
National Provider Identifier
1265513147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 035
- Practice address
- 789 Clapboardtree Street
Harbor Counseling Center
Westwood, MA 02090 - Phone
- (781) 762-4001
- NPI assigned
- Oct 18, 2006
- Last updated
- Oct 12, 2008
- 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 | 035 | MA | Primary |
Addresses
Primary practice location
789 Clapboardtree Street
Harbor Counseling Center
Westwood, MA 02090
Mailing address
541 Marrett Rd
Lexington, MA 02421-7608
Phone (781) 863-8495
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223769600000",
"number": "1265513147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 MARRETT RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024217608",
"telephone_number": "781-863-8495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 CLAPBOARDTREE STREET",
"address_2": "HARBOR COUNSELING CENTER",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "02090",
"telephone_number": "781-762-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALESSIO",
"first_name": "BRUCE",
"middle_name": "ALBERT",
"credential": "MED CAGS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2008-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.