Active NPI
Danielle Elizabeth Tutundjian, PSYD
- Clinical Psychologist
- Arlington, MA
National Provider Identifier
1972066298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11636
- Practice address
- 259 Massachusetts Ave Ofc L3
Arlington, MA 02474-8406 - Phone
- (617) 394-4264
- NPI assigned
- Apr 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY11636 | MA | |
| Clinical Psychologist | 103TC0700X | 11636 | MA | Primary |
Addresses
Primary practice location
259 Massachusetts Ave Ofc L3
Arlington, MA 02474-8406
Mailing address
259 Massachusetts Ave Ofc L3
Arlington, MA 02474-8406
Phone (617) 394-4264
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11636 | MA | MD | Clinical Psychologist |
| PSY11636 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1972066298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 MASSACHUSETTS AVE OFC L3",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024748406",
"telephone_number": "617-394-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 MASSACHUSETTS AVE OFC L3",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024748406",
"telephone_number": "617-394-4264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTUNDJIAN",
"first_name": "DANIELLE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-12",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "PSY11636",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.