Active NPI
Linda Defruscio
- Specialist
- Winchester, MA
National Provider Identifier
1457040099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 633
- Practice address
- 831 Main St Ste 4
Winchester, MA 01890-1997 - Phone
- (617) 964-1000
- NPI assigned
- May 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 633 | MA | Primary |
Addresses
Primary practice location
831 Main St Ste 4
Winchester, MA 01890-1997
Mailing address
133 Dexter Ave
Watertown, MA 02472-4226
Phone (617) 964-1000
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 |
|---|---|---|---|
| 633 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1457040099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 DEXTER AVE",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724226",
"telephone_number": "617-964-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 MAIN ST STE 4",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018901997",
"telephone_number": "617-964-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFRUSCIO",
"first_name": "LINDA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.