Nicholas Armand Rotolo, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

10670 Issued in MA

Practice address

20 Hope Ave Ste 107
Waltham, MA 02453-2717

Phone

(508) 847-9642

Fax

(781) 609-7408

NPI assigned

May 8, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children'S Friend, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Worcester, MA
  • NPI 1346297504
  NPD (past)

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1932587078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WELLINGTON ST APT 3",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024513649",
            "telephone_number": "508-847-9642",
            "fax_number": "781-609-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOPE AVE STE 107",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532717",
            "telephone_number": "508-847-9642",
            "fax_number": "781-609-7408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Northborough",
            "state": "MA",
            "postal_code": "015321914",
            "country_code": "US",
            "telephone_number": "508-847-9642",
            "fax_number": "781-609-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTOLO",
        "first_name": "NICHOLAS",
        "middle_name": "ARMAND",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "10670",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "10670",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303619",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louise Ross, ED D
• Marion Levenson Ross, LICSW
• Susan Carol Rossiter, PT
• Linsey Roth
• Millicent Rothman, RN, BC, NP
• Andrea Jayne Rourke, ATC
• Kayla Rowan, DPT
• Christine Rowley
• Jessica L Roy, MS RD LDN
• Teresa Roy

• Psychologist in Waltham, MA
• Providers in Waltham, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.