Active NPI
Brittany Jo Nozolino
- Marriage & Family Therapist
- Somerville, MA
National Provider Identifier
1295152825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1726
- Practice address
- 17 Innerbelt Rd
Somerville, MA 02143-4418 - Phone
- (617) 981-1393
- Fax
- (617) 629-0010
- NPI assigned
- Mar 20, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IN PROGRESS | MA | |
| Marriage & Family Therapist | 106H00000X | 1726 | MA | Primary |
Addresses
Primary practice location
17 Innerbelt Rd
Somerville, MA 02143-4418
Mailing address
68 Beale St Apt 201
Quincy, MA 02170-2655
Phone (617) 981-1393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1726 | Other | MA | MA DIVISION OF PROFESSIONAL LICENSURE BOARD OF ALLIED MENTAL HEALTH |
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 |
|---|---|---|---|
| 1726 | MA | MD | Behavioral Analyst |
| IN PROGRESS | MA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1295152825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 BEALE ST APT 201",
"city": "QUINCY",
"state": "MA",
"postal_code": "021702655",
"telephone_number": "617-981-1393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 INNERBELT RD",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021434418",
"telephone_number": "617-981-1393",
"fax_number": "617-629-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOZOLINO",
"first_name": "BRITTANY",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-20",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "IN PROGRESS",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MA",
"license": "1726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA DIVISION OF PROFESSIONAL LICENSURE BOARD OF ALLIED MENTAL HEALTH",
"identifier": "1726",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.