Individual provider Active NPI

Anthony Tucci

  • Psychologist
  • Boylston, MA
National Provider Identifier
1285181552
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
11693 Issued in MA
Practice address
65 E Temple St
Boylston, MA 01505-1706
Phone
(413) 455-0539
NPI assigned
Sep 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Student in an Organized Health Care Education/Training Program 390200000X
Psychologist 103T00000X 11693 MA Primary

Addresses

Primary practice location

65 E Temple St
Boylston, MA 01505-1706

Mailing address

65 E Temple St
Boylston, MA 01505-1706
Phone (413) 455-0539

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220719002867 MA Practitioner - Clinical Psychologist 3870974058 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11693MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jun 10, 2022 Accepting new patients
Impact Sports Lab Current Accepting new patients
Community Services Institute, Inc. CurrentSince Dec 10, 2023 Accepting new patients

Locations

872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone 6173804651 ext. 1992

1695 Main St
Fl 400
Springfield, MA 01103
Phone (413) 739-5572

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLC 1,187 clinicians

Practice addresses (Care Compare)

405 Grove St
Suite 201
Worcester, MA 01605-1270
Phone (855) 284-7483

872 Mass Ave
Suite 2 2
Cambridge, MA 02139-3072
Phone (855) 284-7483

NPI Registry JSON

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

{
    "created_epoch": "1473033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1285181552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E TEMPLE ST",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051706",
            "telephone_number": "413-455-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E TEMPLE ST",
            "city": "BOYLSTON",
            "state": "MA",
            "postal_code": "015051706",
            "telephone_number": "413-455-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCCI",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-05",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "11693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boylston, MA

Sources for this page

Verify at the official NPI Registry.