Active NPI
Salvatore Joseph Rizzo, PHD
- Psychologist
- Canton, MA
National Provider Identifier
1710053244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2031
- Practice address
- 275 Turnpike St
Ste 105
Canton, MA 02021-2357 - Phone
- (781) 821-3900
- Fax
- (781) 821-1743
- NPI assigned
- Nov 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2031 | MA | Primary |
Addresses
Primary practice location
275 Turnpike St
Ste 105
Canton, MA 02021-2357
Mailing address
17 Sunnybrook LN
Canton, MA 02021-1614
Phone (781) 828-2237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W02333 | Other | MA | BLUECROSSBLUESHIELD OF MA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120125000583 | MA | Practitioner - Clinical Psychologist | 7315114758 | Practice locations: Canton, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
275 Turnpike St
Suite 105
Canton, MA 02021-2353
Phone (781) 828-2237
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1710053244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 SUNNYBROOK LN",
"city": "CANTON",
"state": "MA",
"postal_code": "020211614",
"telephone_number": "781-828-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 TURNPIKE ST",
"address_2": "STE 105",
"city": "CANTON",
"state": "MA",
"postal_code": "020212357",
"telephone_number": "781-821-3900",
"fax_number": "781-821-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZO",
"first_name": "SALVATORE",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "2031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD OF MA",
"identifier": "W02333",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.