Active NPI
Anthony Rosellini, PHD
- Clinical Psychologist
- Boston, MA
National Provider Identifier
1306495924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11147
- Practice address
- 900 Commonwealth Avenue (East)
2ND Floor
Boston, MA 02215 - Phone
- (617) 353-9610
- Fax
- (617) 353-9609
- NPI assigned
- Sep 6, 2019
- 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 | 11147 | MA | Primary |
Addresses
Primary practice location
900 Commonwealth Avenue (East)
2ND Floor
Boston, MA 02215
Mailing address
900 Commonwealth Avenue (East)
2ND Floor
Boston, MA 02215
Phone (617) 353-9610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Sep 9, 2019 through Sep 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11147 | MA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1306495924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 COMMONWEALTH AVENUE (EAST)",
"address_2": "2ND FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-353-9610",
"fax_number": "617-353-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 COMMONWEALTH AVENUE (EAST)",
"address_2": "2ND FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-353-9610",
"fax_number": "617-353-9609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSELLINI",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.