Individual provider Active NPI

Nicholas F Mollica, PSY. D

  • Mental Health Counselor
  • Sudbury, MA
National Provider Identifier
1720461452
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
144 North Rd Ste 3450
Sudbury, MA 01776-1156
Phone
(978) 233-3054
NPI assigned
Jun 30, 2015
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

144 North Rd Ste 3450
Sudbury, MA 01776-1156

Mailing address

144 North Rd Ste 3450
Sudbury, MA 01776-1156
Phone (978) 233-3054

Other practice location 1

72 E Dedham St # 74
Boston, MA 02118-2315
Phone (617) 292-9200

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Oct 2, 2022 Accepting new patients

Locations

144 North Rd
Ste 3450
Sudbury, MA 01776
Phone (978) 233-3054

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1720461452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 NORTH RD STE 3450",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761156",
            "telephone_number": "978-233-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 NORTH RD STE 3450",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761156",
            "telephone_number": "978-233-3054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 E Dedham St # 74",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182315",
            "country_code": "US",
            "telephone_number": "617-292-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLLICA",
        "first_name": "NICHOLAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PSY. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.