Active NPI
Melissa Rideout, PH.D.
- Psychologist
- Dorchester, MA
National Provider Identifier
1770720724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8970
- Practice address
- 100 Morrissey Blvd
Umass Boston University Health Services
Dorchester, MA 02125-3300 - Phone
- (617) 287-5690
- Fax
- (617) 287-3977
- NPI assigned
- Jan 13, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 8970 | MA | Primary |
| Psychologist | 103T00000X | 3365 | NC |
Addresses
Primary practice location
100 Morrissey Blvd
Umass Boston University Health Services
Dorchester, MA 02125-3300
Mailing address
100 Morrissey Blvd
Umass Boston University Health Services
Dorchester, MA 02125-3300
Phone (617) 287-5690
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3365 | NC | MD | Psychologist |
| 8970 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231804800000",
"number": "1770720724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MORRISSEY BLVD",
"address_2": "UMASS BOSTON UNIVERSITY HEALTH SERVICES",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021253300",
"telephone_number": "617-287-5690",
"fax_number": "617-287-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MORRISSEY BLVD",
"address_2": "UMASS BOSTON UNIVERSITY HEALTH SERVICES",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021253300",
"telephone_number": "617-287-5690",
"fax_number": "617-287-3977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDEOUT",
"first_name": "MELISSA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-13",
"last_updated": "2009-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "8970",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3365",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.