Active NPIIndividual providerSole proprietor

Dr. Nicholas A Rotolo, PSYD

Psychologist in Waltham, Massachusetts

NPI Number1932587078
Practice location
20 Hope Ave Ste 107, Waltham, MA 02453-2717
Fax
781-609-7408
Last updated
May 11, 2022

Nicholas Armand Rotolo is a Psychologist based in Waltham, MA. Nicholas Armand Rotolo practices in Waltham, MA and has the professional credentials of PSYD. The NPI Number for Nicholas Armand Rotolo is 1932587078 and holds a License No. 10670 (MA). The current practice location address for Nicholas Armand Rotolo is 20 Hope Ave Ste 107, Waltham, MA 02453-2717 and can be reached out via phone at 508-847-9642 and via fax at 781-609-7408.

Provider Profile Details

NPI Number
1932587078
Provider Name
Nicholas Armand Rotolo
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
20 Hope Ave Ste 107, Waltham, MA 02453-2717
Phone Number
508-847-9642
Fax Number
781-609-7408
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 8, 2015
Last Update Date
May 11, 2022
Certification Date
May 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Hope Ave Ste 107
Waltham, MA 02453-2717
Zip
02453-2717
Phone Number
508-847-9642
Fax Number
781-609-7408
Waltham, MA 02453Get directions →

Provider Business Mailing Address Details

Address
25 Wellington St Apt 3
Waltham, MA 02451-3649
City
Waltham
State
MA
Zip
02451-3649
Phone Number
508-847-9642
Fax Number
781-609-7408

License Information

License Number (1)
10670
License State (1)
MA
Taxonomy (1)
Psychologist · 103T00000X · Primary
License Number (2)
10670
License State (2)
MA

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. Nicholas A Rotolo, PSYD?

The NPI number of Dr. Nicholas A Rotolo, PSYD is 1932587078. It was assigned on May 8, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicholas A Rotolo, PSYD?

Dr. Nicholas A Rotolo, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 10670.

Where does Dr. Nicholas A Rotolo, PSYD practice?

The practice location is 20 Hope Ave Ste 107, Waltham, MA 02453-2717. The office can be reached at 508-847-9642 (phone) or 781-609-7408 (fax).

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 1932587078 directly on the NPPES registry website.

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