Richard R Amodio, PHD
Individual provider Active NPI Clinical Psychologist · Bedford, MA
NPI 1962455048 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962455048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6882 (MA)
- Practice address
- 200 Springs Rd
Edith Nourse Roger VA Medical Center
Bedford, MA 01730-1114 - Phone
- (781) 687-3056
- Fax
- (781) 687-2169
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6882 | MA | Yes |
Addresses
Primary practice location
200 Springs Rd
Edith Nourse Roger VA Medical Center
Bedford, MA 01730-1114
Mailing address
200 Springs Rd
Edith Nourse Roger VA Medical Center
Bedford, MA 01730-1114
Phone (781) 687-3056
Other providers in Bedford, MA
- Kerri Arlene Alley
- Emin Nebil Altug
- Husna Altug
- Raghavan Amarasingham
- Victoria E Ameral
- Eamon Anderson
- Karen Lane Anderson
- Kimberly Anderson
- Carrie Andreson
- Kathleen M Ankers
All providers in Bedford, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.