MEDITELECARE OF MASSACHUSETTS, PLLC
NPI 1003496506
Psychologist - Clinical in Boston, MA

Q: What is Meditelecare Of Massachusetts, PLLC's NPI number?

The NPI number for Meditelecare Of Massachusetts, PLLC is 1003496506. It was assigned to this organization in the NPPES registry on April 9, 2021.

Q: What is Meditelecare Of Massachusetts, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since April 09, 2021

84 STATE ST, BOSTON, MA 02109(860) 788-6404(860) 829-0495 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2025, Sep 4, 2024, Apr 9, 2021 (3 updates tracked since 2021).

On this page

About Meditelecare Of Massachusetts, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDITELECARE OF MASSACHUSETTS, PLLC (NPI 1003496506) is a healthcare organization registered as a clinical in Boston, Massachusetts and active in the NPI registry since April 2021. The organization lists Andrea Godfrey, Credentialing & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1003496506

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameMEDITELECARE OF MASSACHUSETTS, PLLC

Location Address84 STATE STBoston, MA 02109-2202

Mailing AddressPo Box 1595Middletown, CT 06457-8095 · (860) 788-6404 · Fax (860) 829-0495

Phone(860) 788-6404

Fax(860) 829-0495

Organization SubpartNo

Authorized OfficialAndrea GodfreyCredentialing & Enrollment Manager · (860) 398-6441

Enumeration DateApril 9, 2021

Last NPPES UpdateMay 5, 20253 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ NPI 1003496506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

84 STATE ST, Boston, MA 02109

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meditelecare Of Massachusetts, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 27 clinicians reassign Medicare billing to Meditelecare Of Massachusetts, PLLC, which bills Medicare for the services they deliver. Of these, 12 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner11

Clinical Psychologist7

Clinical Social Worker7

Certified Clinical Nurse Specialist (CNS)1

Mental Health Counselor1

Nearest to this location (20)

See all 27

Steven Afrow, NP

Nurse Practitioner

NPI 1871946152

84 STATE ST
Boston, MA 02109

(860) 788-6404

✔ PECOS✔ Accepts MedicareSame address

Corey Baechel, PSYD

Clinical Psychologist

NPI 1003149972

84 STATE ST
Boston, MA 02109

(860) 788-6404

✔ PECOSSame address

Tarah Foley, LCSW

Clinical Social Worker

NPI 1962128686

84 STATE ST
Boston, MA 02109

(860) 788-6404

✔ PECOS✔ Accepts MedicareSame address

Amina Fout

Nurse Practitioner

NPI 1962035840

84 STATE ST
Boston, MA 02109

(860) 788-6404

✔ PECOSSame address

Stephany Gyasi, CNP

Certified Clinical Nurse Specialist (CNS)

NPI 1508369166

84 STATE STRRET
Boston, MA 02109

(860) 788-6404

✔ PECOS✔ Accepts MedicareSame address

Erica Hill, FNP-BC

Nurse Practitioner

NPI 1487125217

84 STATE ST
Boston, MA 02109

(860) 788-6404

✔ PECOS✔ Accepts MedicareSame address

Kelly Lincoln, FNP

Nurse Practitioner

NPI 1518591619

84 STATE ST
Boston, MA 02109

(860) 788-6404

✔ PECOS✔ Accepts MedicareSame address

Tatum Siebert, M.ED

Clinical Psychologist

NPI 1528389566

84 STATE ST
Boston, MA 02109

(860) 788-6404

✔ PECOS✔ Accepts MedicareSame address

Arlie Sterling, PH.D.

Clinical Psychologist

NPI 1508260860

84 STATE ST
Boston, MA 02109

(860) 694-4966

✔ PECOS✔ Accepts MedicareSame address

Colette Duffy, LCSW

Clinical Social Worker

NPI 1447809553

84 STATE ST
Boston, MA 02109

(860) 788-6404

✔ PECOS✔ Accepts MedicareSame address

Ruby Richardson, LICSW

Clinical Social Worker

NPI 1760268452

84 STATE ST
Boston, MA 02109

(860) 788-6404

✔ PECOS✔ Accepts MedicareSame address

Joanna Machain

Nurse Practitioner

NPI 1932561289

84 STATE ST SUITE 660
Boston, MA 02109

(800) 370-3651

✔ PECOS✔ Accepts MedicareSame address

Inyang Mercy Ajama

Nurse Practitioner

NPI 1467226076

221 BOSTON RD
North Billerica, MA 01862

(978) 224-1418

✔ PECOS✔ Accepts Medicare19 mi

Marielle Pitts, NP

Nurse Practitioner

NPI 1518215490

50 W MAIN ST
Hopkinton, MA 01748

(508) 439-0312

✔ PECOS✔ Accepts Medicare26 mi

Brendan Mckenna, LCSW

Clinical Social Worker

NPI 1205570082

224 CENTRE ST APT 6
Middleboro, MA 02346

(860) 420-6701

✔ PECOS33 mi

Susan Estrela

Clinical Social Worker

NPI 1013566397

290 KENYON AVE
Pawtucket, RI 02861

(401) 632-6434

✔ PECOS✔ Accepts Medicare36 mi

Stephanie Rondeau, NP

Nurse Practitioner

NPI 1184813214

55 LAKE AVE N
Worcester, MA 01655

(774) 443-7552

✔ PECOS✔ Accepts Medicare36 mi

Erica Beachy-Randall, PSY.D.

Clinical Psychologist

NPI 1982953352

26 CALAMINT HILL RD N
Princeton, MA 01541

(801) 699-3536

✔ PECOS44 mi

Katelyn Henault

Clinical Psychologist

NPI 1669960084

222 JEFFERSON BLVD
Warwick, RI 02888

(860) 788-6404

✔ PECOS✔ Accepts Medicare47 mi

Reuven Gordon

Mental Health Counselor

NPI 1558819938

10 FERRY ST STE 313
Concord, NH 03301

(860) 788-6404

✔ PECOS✔ Accepts Medicare64 mi

See all 27 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Meditelecare Of Massachusetts, PLLC's NPI number?

The NPI number for Meditelecare Of Massachusetts, PLLC is 1003496506. It was assigned to this organization in the NPPES registry on April 9, 2021.

Where is Meditelecare Of Massachusetts, PLLC located?

Meditelecare Of Massachusetts, PLLC is located at 84 State St, Boston, MA 02109. The listed phone number is (860) 788-6404.

What is Meditelecare Of Massachusetts, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Meditelecare Of Massachusetts, PLLC enrolled in Medicare?

Yes. Meditelecare Of Massachusetts, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Meditelecare Of Massachusetts, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 5 Medicare specialties reassign their Medicare billing to Meditelecare Of Massachusetts, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Clinical Psychologist (7) and Clinical Social Worker (7). Of these, 12 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Meditelecare Of Massachusetts, PLLC accept?

Health plans from WellSense Health Plan list Meditelecare Of Massachusetts, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Meditelecare Of Massachusetts, PLLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.