Organization Active NPI

Firepsych, Inc.

  • Psychologist
  • Norwood, MA
National Provider Identifier
1750419255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6574 Issued in MA
Legal business name
FIREPSYCH, INC.
Practice address
470 Washington St Ste 22
Norwood, MA 02062-2343
Phone
(781) 762-8815
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Stadolnik, ED.D.
Title
President
Phone
(781) 762-8815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 6574 MA Primary

Addresses

Primary practice location

470 Washington St Ste 22
Norwood, MA 02062-2343

Mailing address

470 Washington St Ste 22
Norwood, MA 02062-2343
Phone (781) 762-8815

National Provider Directory

National Provider Directory

Locations

470 Washington St
Ste 22
Norwood, MA 02062
Phone (617) 835-9510

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750419255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 WASHINGTON ST STE 22",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020622343",
            "telephone_number": "781-762-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 WASHINGTON ST STE 22",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020622343",
            "telephone_number": "781-762-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREPSYCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STADOLNIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-762-8815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.