Active NPIIndividual provider

Dr. Eleanora Cacciola, PHD

Psychologist, Clinical in Worcester, Massachusetts

NPI Number1265806400
Practice location
135 Gold Star Blvd, Worcester, MA 01606-2738
Fax
—
Last updated
May 11, 2022

Eleanora Cacciola is a Psychologist, Clinical based in Worcester, MA. Eleanora Cacciola practices in Worcester, MA and has the professional credentials of PHD. The NPI Number for Eleanora Cacciola is 1265806400 and holds a License No. 11794 (MA). The current practice location address for Eleanora Cacciola is 135 Gold Star Blvd, Worcester, MA 01606-2738 and can be reached out via phone at 508-459-6400.

Provider Profile Details

NPI Number
1265806400
Provider Name
Eleanora Cacciola
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
135 Gold Star Blvd, Worcester, MA 01606-2738
Phone Number
508-459-6400
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
November 27, 2015
Last Update Date
May 11, 2022
Certification Date
May 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
135 Gold Star Blvd
Worcester, MA 01606-2738
Zip
01606-2738
Phone Number
508-459-6400
Worcester, MA 01606Get directions →

Provider Business Mailing Address Details

Address
135 Gold Star Blvd
Worcester, MA 01606-2738
City
Worcester
State
MA
Zip
01606-2738

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
11794
License State (2)
MA
License Number (3)
11794
License State (3)
MA
Taxonomy (3)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Eleanora Cacciola, PHD?

The NPI number of Dr. Eleanora Cacciola, PHD is 1265806400. It was assigned on November 27, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Eleanora Cacciola, PHD?

Dr. Eleanora Cacciola, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 11794.

Where does Dr. Eleanora Cacciola, PHD practice?

The practice location is 135 Gold Star Blvd, Worcester, MA 01606-2738. The office can be reached at 508-459-6400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265806400 directly on the NPPES registry website.

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