Individual provider Active NPI

Catherine Lourdes Salussolia

  • Neurology with Special Qualifications in Child Neurology Physician
  • Boston, MA
National Provider Identifier
1659790384
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
273619 Issued in MA
Practice address
300 Longwood Ave # Fegan11
Boston, MA 02115-5724
Phone
(617) 355-6388
NPI assigned
Apr 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 273619 MA Primary

Addresses

Primary practice location

300 Longwood Ave # Fegan11
Boston, MA 02115-5724

Mailing address

300 Longwood Ave # Fegan11
Boston, MA 02115-5724
Phone (617) 355-6388

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220628001398 MA Practitioner - Neurology 3971982513 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
C H Neurology Foundation Inc Neurology With Special Qualifications in Child Neurology CurrentSince Jul 1, 2022 Accepting new patients
Pratt Pediatric Associates Inc Neurology With Special Qualifications in Child Neurology CurrentSince Jul 18, 2024 Accepting new patients
Baystate Medical Practices, Inc CurrentSince Oct 24, 2025 Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

300 Longwood Ave
#11
Boston, MA 02115
Phone (617) 355-6388

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

50 Wason Ave
Springfield, MA 01107
Phone (413) 794-2515

Interoperability endpoints

  • Direct secure messaging: csalussolia131865@tuftsmedicine.direct-ci.com
  • Direct secure messaging: csalussolia66145@direct.bostonchildrens.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1659790384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE # FEGAN11",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE # FEGAN11",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-355-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALUSSOLIA",
        "first_name": "CATHERINE",
        "middle_name": "LOURDES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MA",
            "license": "273619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.