NPIMap

Organization Active NPI

Robert M Trudel SCD PC

  • Health Service Psychologist
  • Leominster, MA
National Provider Identifier
1568638435
Registry record updated May 1, 2008
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Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
2277 Issued in MA
Legal business name
ROBERT M TRUDEL SCD PC
Practice address
14 Stagecoach Rd
Leominster, MA 01453-3472
Phone
(978) 537-4920
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Robert Michael Trudel
Title
President
Phone
(978) 537-4920

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0100X 2277 MA Primary
Community/Behavioral Health Agency 251S00000X 2277 MA

Addresses

Primary practice location

14 Stagecoach Rd
Leominster, MA 01453-3472

Mailing address

14 Stagecoach Rd
Leominster, MA 01453-3472
Phone (978) 537-4920

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1568638435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 STAGECOACH RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533472",
            "telephone_number": "978-537-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 STAGECOACH RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533472",
            "telephone_number": "978-537-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M TRUDEL SCD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "TRUDEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-537-4920",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "2277",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "2277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.