Rosalie Fazio-Eynullayeva

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

228134 Issued in MA

Practice address

175 Federal St Ste 1400
Boston, MA 02110-2237

Phone

(324) 661-7336

Fax

(857) 401-3013

NPI assigned

Aug 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Rosalie Hughes Fazio Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fazio-Eynullayeva Counseling LLC

  • Adult Mental Health Clinic/Center
  • Lowell, MA
  • NPI 1013714021
  NPD Authorized official
• Collaborative Insight Counseling Associates, LLC

  • Counselor
  • Boston, MA
  • NPI 1760950943
  NPD

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1730852062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FLORENCE AVE",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FEDERAL ST STE 1400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102237",
            "telephone_number": "324-661-7336",
            "fax_number": "857-401-3013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Florence Ave",
            "address_purpose": "LOCATION",
            "city": "Revere",
            "state": "MA",
            "postal_code": "021513513",
            "country_code": "US",
            "telephone_number": "781-330-9106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAZIO-EYNULLAYEVA",
        "first_name": "ROSALIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "228134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSALIE",
            "last_name": "FAZIO",
            "middle_name": "HUGHES",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maya Fayfman, M.D.
• Owais Fazal, MD
• Reza Fazel, M.D., M.SC.
• Bushra Fazilat
• Suely Fazio Ferraciolli, MD, PHD
• Sara B Fazio, M.D.
• Mel B Feany, MD PHD
• Fearfully and Beautifully Made Fitness, LLC.
• Daniela Alejandra Febres-Cordero, MD
• John J Fedak Jr.

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.