Individual provider Active NPI

Devin Massaro, PHD

  • Clinical Psychologist
  • Billerica, MA
National Provider Identifier
1750078713
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10000260 Issued in MA
Practice address
294 Concord Rd
Billerica, MA 01821-3482
Phone
(978) 330-5105
NPI assigned
Apr 20, 2023
Last updated
May 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10000260 MA Primary

Addresses

Primary practice location

294 Concord Rd
Billerica, MA 01821-3482

Mailing address

1908 Stearns Hill Rd
Waltham, MA 02451-3339

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
10000260MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mended Minds Mental Health LLC Clinical Current Accepting new patients
Blue Square Counseling and Wellness Center, PLLC CurrentSince May 19, 2024 Accepting new patients

Locations

294 Concord Rd
Billerica, MA 01821
Phone (978) 330-5105

35 Bedford St
Ste 5
Lexington, MA 02420
Phone (781) 861-8884

Organizations & group practices 2

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": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1750078713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 STEARNS HILL RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024513339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 CONCORD RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018213482",
            "telephone_number": "978-330-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "DEVIN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-20",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10000260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billerica, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.