Individual provider Active NPI

Tammy Perkoski, PSY.D.

  • Clinical Psychologist
  • Foxboro, MA
National Provider Identifier
1639293400
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9015 Issued in MA
Practice address
34 School St
Ste 200
Foxboro, MA 02035-2318
Phone
(617) 549-9459
Fax
(508) 530-4163
NPI assigned
Mar 19, 2007
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 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 9015 MA Primary

Addresses

Primary practice location

34 School St
Ste 200
Foxboro, MA 02035-2318

Mailing address

6 Fawn LN
Franklin, MA 02038-3236
Phone (617) 549-9459

Other identifiers 1

IdentifierTypeStateIssuer
P2286OtherMAMEDICARE

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
I20090707000014 MA Practitioner - Clinical Psychologist 5193755841 Practice locations: Franklin, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 Hayward St
Suite G3
Franklin, MA 02038-2166
Phone (617) 549-9459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9015MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Providence Center Inc PastSince Jan 21, 2013 Accepting new patients
The Providence Center Past Accepting new patients
Psychological Associates of Southeastern Massachusetts, LLC Clinical PastSince Feb 1, 2012 Accepting new patients
Child and Family Psychological Services, PLLC Clinical Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1639293400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FAWN LN",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020383236",
            "telephone_number": "617-549-9459",
            "fax_number": "508-530-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SCHOOL ST",
            "address_2": "STE 200",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352318",
            "telephone_number": "617-549-9459",
            "fax_number": "508-530-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKOSKI",
        "first_name": "TAMMY",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "P2286",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foxboro, MA

Sources for this page

Verify at the official NPI Registry.