Active NPI
Joseph N Ricciardi II, PSY.D., BCBA-D
- Clinical Psychologist
- Devens, MA
National Provider Identifier
1609196856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6220 HSP
- Practice address
- 22 Grant Rd
Devens, MA 01434-4468 - Phone
- (978) 772-7172
- NPI assigned
- Jun 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | 6220 HSP | MA | |
| Clinical Psychologist | 103TC0700X | 6220 HSP | MA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6220 HSP | MA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 6220 HSP | MA |
Addresses
Primary practice location
22 Grant Rd
Devens, MA 01434-4468
Mailing address
22 Grant Rd
Devens, MA 01434-4468
Phone (978) 772-7172
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 |
|---|---|---|---|
| 6220 HSP | MA | MD | Intellectual & Developmental Disabilities Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324252800000",
"number": "1609196856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 GRANT RD",
"city": "DEVENS",
"state": "MA",
"postal_code": "014344468",
"telephone_number": "978-772-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 GRANT RD",
"city": "DEVENS",
"state": "MA",
"postal_code": "014344468",
"telephone_number": "978-772-7172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCIARDI",
"first_name": "JOSEPH",
"middle_name": "N",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PSY.D., BCBA-D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-09",
"last_updated": "2011-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "6220 HSP",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6220 HSP",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "6220 HSP",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "MA",
"license": "6220 HSP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Devens, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.