Organization Active NPI

Nancy a Santoro PSYD LLC

  • Clinical Psychologist
  • Lexington, MA
National Provider Identifier
1316336720
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8673 Issued in MA
Legal business name
NANCY A SANTORO PSYD LLC
Practice address
4 Militia Dr
Suite 23
Lexington, MA 02421-4737
Phone
(978) 831-7701
Fax
(978) 252-7475
NPI assigned
Jan 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Nancy Santoro
Title
Sole Proprietor
Phone
(978) 831-7701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 8673 MA Primary

Addresses

Primary practice location

4 Militia Dr
Suite 23
Lexington, MA 02421-4737

Mailing address

4 Militia Dr
Suite 23
Lexington, MA 02421-4737
Phone (978) 831-7701

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1316336720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MILITIA DR",
            "address_2": "SUITE 23",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214737",
            "telephone_number": "978-831-7701",
            "fax_number": "978-252-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MILITIA DR",
            "address_2": "SUITE 23",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214737",
            "telephone_number": "978-831-7701",
            "fax_number": "978-252-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY A SANTORO PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "978-831-7701"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.