NPIMap

Organization Active NPI

Atlantic Counseling and Consultation, Inc

  • Psychologist
  • South Weymouth, MA
National Provider Identifier
1285729004
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ATLANTIC COUNSELING AND CONSULTATION, INC
Practice address
49 Pleasant St
South Weymouth, MA 02190-2435
Phone
(781) 335-6000
Fax
(781) 340-5358
NPI assigned
Oct 4, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Gerald J. Dimatteo, LICSWNPI 1013006675
Title
Director
Phone
(781) 335-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

49 Pleasant St
South Weymouth, MA 02190-2435

Mailing address

49 Pleasant St
South Weymouth, MA 02190-2435
Phone (781) 335-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040625000065 MA Part B Supplier - Clinic/Group Practice 9335125947 Receives reassigned benefits from 9 practitioners
Practice locations: Wellesley, MA

National Provider Directory

National Provider Directory

Locations

49 Pleasant St
Ste 201
South Weymouth, MA 02190
Phone (781) 335-6000

49 Pleasant St
Ste 201A
South Weymouth, MA 02190
Phone (781) 335-6000

27 Mica Ln
Ste 106
Wellesley Hills, MA 02481
Phone (781) 335-6000

49 Pleasant St
Weymouth, MA 02190
Phone (781) 335-6000

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285729004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PLEASANT ST",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021902435",
            "telephone_number": "781-335-6000",
            "fax_number": "781-340-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PLEASANT ST",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021902435",
            "telephone_number": "781-335-6000",
            "fax_number": "781-340-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COUNSELING AND CONSULTATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DIMATTEO",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "781-335-6000",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.