Active NPI
Nancie Rouleau
- Clinical Neuropsychologist
- Cambridge, MA
National Provider Identifier
1730804493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 1493 Cambridge Street
Macht Building, Dept Psychiatry
Cambridge, MA 02139-0213 - Phone
- (418) 558-2795
- NPI assigned
- Oct 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
1493 Cambridge Street
Macht Building, Dept Psychiatry
Cambridge, MA 02139-0213
Mailing address
160 Cambridgepark Dr Apt 532
Cambridge, MA 02140-2476
Phone (617) 642-5948
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nrouleau@cha.harvard.edu |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1730804493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 CAMBRIDGEPARK DR APT 532",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402476",
"telephone_number": "617-642-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1493 CAMBRIDGE STREET",
"address_2": "MACHT BUILDING, DEPT PSYCHIATRY",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021390213",
"telephone_number": "418-558-2795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROULEAU",
"first_name": "NANCIE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nrouleau@cha.harvard.edu",
"affiliation": "N",
"endpointDescription": "Work email",
"address_1": "1493 Cambridge Street",
"address_2": "Macht Building, Dept Psychiatry, 2nd Floor, Psychology",
"city": "Cambridge",
"state": "MA",
"country_code": "US",
"postal_code": "02139",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.