Alessandro Tomaso Piselli, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10051 Issued in MA

Practice address

323 Boston Post Rd Ste 1a
Sudbury, MA 01776-3022

Phone

(617) 506-9012

NPI assigned

Mar 25, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Sandro Piselli Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 2, 2025 through Feb 2, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1346549672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BOSTON POST RD STE 1A",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763022",
            "telephone_number": "617-506-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BOSTON POST RD STE 1A",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017763022",
            "telephone_number": "617-506-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISELLI",
        "first_name": "ALESSANDRO",
        "middle_name": "TOMASO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-25",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRO",
            "last_name": "PISELLI",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dominique Perla
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• Nina Pham
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• Katrina Elizabeth Pitts, LICSW
• Natalie Marie Pomarico, PTA, LMT
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• Kristy Poulliot, FNP-BC
• Ava Powell, MSW, LICSW

• Clinical Psychologist in Sudbury, MA
• Providers in Sudbury, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.