Active NPI
James Kenneth Luiselli, EDD ABPP BCBA
- Clinical Psychologist
- Randolph, MA
National Provider Identifier
1285850271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3220
- Practice address
- 41 Pacella Park Drive
May Institute
Randolph, MA 02368 - Phone
- (781) 437-1205
- Fax
- (781) 440-0401
- NPI assigned
- Apr 18, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3220 | MA | Primary |
Addresses
Primary practice location
41 Pacella Park Drive
May Institute
Randolph, MA 02368
Mailing address
41 Pacella Park Drive
May Institute
Randolph, MA 02368
Phone (781) 437-1205
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3220 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285850271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 PACELLA PARK DRIVE",
"address_2": "MAY INSTITUTE",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "02368",
"telephone_number": "781-437-1205",
"fax_number": "781-440-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 PACELLA PARK DRIVE",
"address_2": "MAY INSTITUTE",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "02368",
"telephone_number": "781-437-1205",
"fax_number": "781-440-0401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUISELLI",
"first_name": "JAMES",
"middle_name": "KENNETH",
"credential": "EDD ABPP BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "3220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.