Rachel Alterisio
Individual provider Active NPI Psychologist · Canton, MA
NPI 1962059691 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1962059691
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 10000204 (MA)
- Practice address
- 340 Turnpike St Ste 1-3a
Canton, MA 02021-2700 - Phone
- (781) 619-1500
- NPI assigned
- Aug 19, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000204 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Center for Child Development Community | Current |
Accepting new patients |
Locations
340 Turnpike St
Ste 1-3A
Canton, MA 02021
Phone (781) 619-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 10000204 | MA | Yes |
Addresses
Primary practice location
340 Turnpike St Ste 1-3a
Canton, MA 02021-2700
Mailing address
340 Turnpike St Ste 1-3a
Canton, MA 02021-2700
Phone (781) 619-1500
Other providers in Canton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.