Individual provider Active NPI

Ralph James Buonopane, PH.D.

  • Psychologist
  • Brighton, MA
National Provider Identifier
1386133049
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
8558 Issued in MA
Practice address
30 Warren St Unit 1
Brighton, MA 02135-3680
Phone
(617) 779-1689
Fax
(617) 779-1657
NPI assigned
May 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 8558 MA Primary

Addresses

Primary practice location

30 Warren St Unit 1
Brighton, MA 02135-3680

Mailing address

18 Flint Locke LN
Medfield, MA 02052-1814
Phone (781) 690-7321

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
8558MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The McLean Hospital Corporation Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: buonopane.ralph.mcl@direct.partners.masshiway.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1386133049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FLINT LOCKE LN",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521814",
            "telephone_number": "781-690-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WARREN ST UNIT 1",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021353680",
            "telephone_number": "617-779-1689",
            "fax_number": "617-779-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONOPANE",
        "first_name": "RALPH",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "8558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.