Individual provider Active NPI

Rachel Erin Latta, PH.D.

  • Counseling Psychologist
  • Melrose, MA
National Provider Identifier
1427356047
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
9332 Issued in MA
Practice address
616 Main St
Melrose, MA 02176-3116
Phone
(781) 687-2948
Fax
(781) 687-2169
NPI assigned
Mar 7, 2011
Last updated
May 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 9332 MA Primary

Addresses

Primary practice location

616 Main St
Melrose, MA 02176-3116

Mailing address

81 Warwick Rd
Melrose, MA 02176-2109
Phone (617) 286-4107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810002134 MA Practitioner - Clinical Psychologist 4880862267 Practice locations: Melrose, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

616 Main St
Melrose, MA 02176-3116
Phone (617) 286-4107

81 Warwick Rd
Melrose, MA 02176-2109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
9332MAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1427356047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 WARWICK RD",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762109",
            "telephone_number": "617-286-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021763116",
            "telephone_number": "781-687-2948",
            "fax_number": "781-687-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTA",
        "first_name": "RACHEL",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "9332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

Verify at the official NPI Registry.