Individual provider Active NPI

Rachel Rose Andaloro, PSY.D.

  • Clinical Neuropsychologist
  • Westborough, MA
National Provider Identifier
1962848077
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
9684 Issued in MA
Practice address
1900 W Park Dr Ste 280
Westborough, MA 01581-3919
Phone
(508) 983-1424
Fax
(508) 983-0987
NPI assigned
May 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 9684 MA Primary
Psychologist 103T00000X 9684 MA

Addresses

Primary practice location

1900 W Park Dr Ste 280
Westborough, MA 01581-3919

Mailing address

1900 W Park Dr Ste 280
Westborough, MA 01581-3919
Phone (508) 983-1424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140424000823 MA Practitioner - Clinical Psychologist 3971736141 Reassigns benefits to 1 organization
Practice locations: Cambridge, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

725 Concord Ave
Suite 2100
Cambridge, MA 02138-1052
Phone (302) 584-4091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Pond Neuropsychology PLLC Current Accepting new patients
Post Acute Specialists of Massachusetts PLLC Past Accepting new patients
Residence at Valley Farm Past Accepting new patients
Michael P. Biber, M.D., P.C. Past Accepting new patients

Locations

725 Concord Ave
Ste 2100
Cambridge, MA 02138
Phone (201) 456-1115

Interoperability endpoints

  • Direct secure messaging: randaloro254539@direct.bilh.masshiway.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1962848077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W PARK DR STE 280",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813919",
            "telephone_number": "508-983-1424",
            "fax_number": "508-983-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W PARK DR STE 280",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813919",
            "telephone_number": "508-983-1424",
            "fax_number": "508-983-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDALORO",
        "first_name": "RACHEL",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "9684",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.