Active NPI
Christine Musello, PSY.D.
- Clinical Psychologist
- Smithfield, VA
National Provider Identifier
1801868732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6788
- Practice address
- 100 Dover CT
Smithfield, VA 23430-6145 - Phone
- (781) 718-5515
- Fax
- (978) 268-5088
- NPI assigned
- Feb 4, 2006
- Last updated
- Mar 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6788 | MA | Primary |
Addresses
Primary practice location
100 Dover CT
Smithfield, VA 23430-6145
Mailing address
100 Dover CT
Smithfield, VA 23430-6145
Phone (781) 718-5515
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30018051240001 | Medicaid | VA | |
| 0525751 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040318001097 | MA | Practitioner - Clinical Psychologist | 3375433774 | Practice locations: Groton, MA |
| I20240919000697 | VA | Practitioner - Psychologist Billing Independently | 3375433774 | Practice locations: Smithfield, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
100 Dover CT
Smithfield, VA 23430-6145
Phone (781) 718-5515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6788 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1801868732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DOVER CT",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234306145",
"telephone_number": "781-718-5515",
"fax_number": "978-268-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DOVER CT",
"city": "SMITHFIELD",
"state": "VA",
"postal_code": "234306145",
"telephone_number": "781-718-5515",
"fax_number": "978-268-5088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSELLO",
"first_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-04",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30018051240001",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0525751",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smithfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.