Organization Active NPI

Cedar Psychotherapy & Wellness, LLC

  • Clinical Psychologist
  • Medford, MA
National Provider Identifier
1821958042
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CEDAR PSYCHOTHERAPY & WELLNESS, LLC
Practice address
62 Sheridan Ave
Medford, MA 02155-4020
Phone
(617) 396-3582
Fax
(617) 396-3582
NPI assigned
Nov 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Dr. Marielena Tecce-Berriola, PSYD
Title
Clinical Psychologist
Phone
(781) 572-6713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

62 Sheridan Ave
Medford, MA 02155-4020

Mailing address

62 Sheridan Ave
Medford, MA 02155-4020
Phone (617) 396-3582

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1821958042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 SHERIDAN AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554020",
            "telephone_number": "617-396-3582",
            "fax_number": "617-396-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 SHERIDAN AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554020",
            "telephone_number": "617-396-3582",
            "fax_number": "617-396-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR PSYCHOTHERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "TECCE-BERRIOLA",
        "authorized_official_first_name": "MARIELENA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "781-572-6713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.