Active NPI
Ivelisse Paulino
- Psychologist
- Fitchburg, MA
National Provider Identifier
1922889658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 625 Main St FL 3
Fitchburg, MA 01420-3496 - Phone
- (978) 503-7520
- NPI assigned
- Oct 9, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
625 Main St FL 3
Fitchburg, MA 01420-3496
Mailing address
625 Main St FL 3
Fitchburg, MA 01420-3496
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1922889658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 MAIN ST FL 3",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014203496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 MAIN ST FL 3",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014203496",
"telephone_number": "978-503-7520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULINO",
"first_name": "IVELISSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-09",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.