Active NPIIndividual providerSole proprietor

Michael D Madera, PSYD

Psychologist in Acton, Massachusetts

NPI Number1972097053
Practice location
17 Half Moon Hl, Acton, MA 01720-2448
Fax
—
Last updated
June 21, 2018

Michael Diianni Madera is a Psychologist based in Acton, MA. Michael Diianni Madera practices in Acton, MA and has the professional credentials of PSYD. The NPI Number for Michael Diianni Madera is 1972097053 and holds a License No. 7449 (MA). The current practice location address for Michael Diianni Madera is 17 Half Moon Hl, Acton, MA 01720-2448 and can be reached out via phone at 617-852-1712.

Provider Profile Details

NPI Number
1972097053
Provider Name
Michael Diianni Madera
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
17 Half Moon Hl, Acton, MA 01720-2448
Phone Number
617-852-1712
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 21, 2018
Last Update Date
June 21, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Half Moon Hl
Acton, MA 01720-2448
City
Acton
Zip
01720-2448
Phone Number
617-852-1712
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
17 Half Moon Hl
Acton, MA 01720-2448
City
Acton
State
MA
Zip
01720-2448
Phone Number
617-852-1712

License Information

License Number
7449
License State
MA
Taxonomy
Psychologist · 103T00000X · 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 Michael D Madera, PSYD?

The NPI number of Michael D Madera, PSYD is 1972097053. It was assigned on June 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Michael D Madera, PSYD?

Michael D Madera, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 7449.

Where does Michael D Madera, PSYD practice?

The practice location is 17 Half Moon Hl, Acton, MA 01720-2448. The office can be reached at 617-852-1712 (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 1972097053 directly on the NPPES registry website.

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