Individual provider Active NPI

Adele L Traniello, EDD

  • Clinical Psychologist
  • Norwood, MA
National Provider Identifier
1639154420
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6607 Issued in MA
Practice address
1500 Providence Hwy
Suite 22B
Norwood, MA 02062-4630
Phone
(781) 255-0070
Fax
(866) 442-9954
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6607 MA Primary

Addresses

Primary practice location

1500 Providence Hwy
Suite 22B
Norwood, MA 02062-4630

Mailing address

93 Gilder Rd
Bourne, MA 02532-3528
Phone (781) 255-0070

Other identifiers 1

IdentifierTypeStateIssuer
0523739MedicaidMA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6607MAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1639154420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 GILDER RD",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323528",
            "telephone_number": "781-255-0070",
            "fax_number": "866-442-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PROVIDENCE HWY",
            "address_2": "SUITE 22B",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624630",
            "telephone_number": "781-255-0070",
            "fax_number": "866-442-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRANIELLO",
        "first_name": "ADELE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0523739",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.