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: August 09, 2026.

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

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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 Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COREY BAECHEL PSYD

Psychologist (Clinical)

84 STATE ST
BOSTON, MA 02109

Suffolk County (860) 788-6404

MEDOPTIONS OF MASSACHUSETTS LLC

Psychiatry & Neurology (Psychiatry)

84 STATE ST, SUITE 660
BOSTON, MA 02109

Suffolk County (410) 832-2279

WELLSPRING PHYSICIAN, P.C. - MA

Family Medicine

84 STATE ST
BOSTON, MA 02109

Suffolk County (877) 872-0370

TEMPO MEDICAL MASSACHUSETTS PC

Preventive Medicine (Obesity Medicine)

84 STATE ST
BOSTON, MA 02109

Suffolk County (212) 803-9949

MS. LUCINEIA TANCREDO N.P.

Nurse Practitioner (Family)

84 STATE ST, SUITE 660
BOSTON, MA 02109

Suffolk County (800) 370-3651

COLETTE DUFFY LCSW

Social Worker (Clinical)

84 STATE ST
BOSTON, MA 02109

Suffolk County (860) 788-6404

ERICA MARIE VISCO FNP-BC

Nurse Practitioner (Family)

84 STATE ST
BOSTON, MA 02109

Suffolk County (860) 788-6404

DR. ARLIE GRAHAM STERLING IV PH.D.

Psychologist (Clinical)

84 STATE ST
BOSTON, MA 02109

Suffolk County (860) 694-4966

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.

What insurance does Meditelecare Of Massachusetts, PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield 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 15 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.