Active NPI
Kaitlyn Peretti, PSY.D.
- Forensic Psychologist
- Bridgewater, MA
National Provider Identifier
1356701809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 9195
- Practice address
- 30 Administration Rd
Bridgewater, MA 02324-3230 - Phone
- (508) 279-8434
- NPI assigned
- Feb 26, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 9195 | MA | Primary |
Addresses
Primary practice location
30 Administration Rd
Bridgewater, MA 02324-3230
Mailing address
30 Administration Rd
Bridgewater, MA 02324-3230
Phone (508) 279-8434
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 |
|---|---|---|---|
| 9195 | MA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1356701809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 ADMINISTRATION RD",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023243230",
"telephone_number": "508-279-8434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 ADMINISTRATION RD",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023243230",
"telephone_number": "508-279-8434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERETTI",
"first_name": "KAITLYN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-26",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "MA",
"license": "9195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.