Individual provider Active NPI

Vicki Joan Compitello, PHD

  • Psychologist
  • Eastham, MA
National Provider Identifier
1992724900
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
422 Issued in NH
Practice address
14 Fallon Rd
Eastham, MA 02642-1600
Phone
(508) 694-3684
Fax
(508) 694-3694
NPI assigned
Jul 19, 2006
Last updated
May 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 422 NH Primary
Psychologist 103T00000X 4281 MA
Counseling Psychologist 103TC1900X 422 NH
Counseling Psychologist 103TC1900X 4281 MA
Clinical Child & Adolescent Psychologist 103TC2200X 422 NH
Clinical Child & Adolescent Psychologist 103TC2200X 4281 MA
Group Psychotherapy Psychologist 103TP2701X 422 NH
Group Psychotherapy Psychologist 103TP2701X 4281 MA

Addresses

Primary practice location

14 Fallon Rd
Eastham, MA 02642-1600

Mailing address

75 S Main St Unit 7-309
Concord, NH 03301-4868
Phone (508) 694-3684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080306000663 NH Practitioner - Clinical Psychologist 3779585047 Practice locations: Concord, NH
I20091118000362 MA Practitioner - Clinical Psychologist 3779585047 Practice locations: Eastham, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Hayward Brook Dr
Concord, NH 03301-1838
Phone (508) 694-3684

75 S Main St
Concord, NH 03301-4868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
422NHMDCounseling Psychologist
4281MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Orleans Psychotherapy Associates PastSince Mar 23, 2011 Accepting new patients
Teresa Cochran PHD PLLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1992724900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 S MAIN ST UNIT 7-309",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014868",
            "telephone_number": "508-694-3684",
            "fax_number": "508-694-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 FALLON RD",
            "city": "EASTHAM",
            "state": "MA",
            "postal_code": "026421600",
            "telephone_number": "508-694-3684",
            "fax_number": "508-694-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMPITELLO",
        "first_name": "VICKI",
        "middle_name": "JOAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "422",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4281",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NH",
            "license": "422",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "4281",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NH",
            "license": "422",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MA",
            "license": "4281",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NH",
            "license": "422",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MA",
            "license": "4281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastham, MA

Sources for this page

Verify at the official NPI Registry.