Meditelecare of Massachusetts, PLLC
NPI 1003496506ActiveOrganization· Psychologist, Clinical· Boston, MA
Psychologist, Clinical in Boston, Massachusetts, registered in NPPES in April 2021. The authorized official on file is Andrea Godfrey, Credentialing & Enrollment Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003496506 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2021 |
| Last updated in NPPES | May 5, 2025 |
| Certified by provider | May 5, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA) |
|---|
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