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JOHN M RODOLICO PH.D.
NPI 1043365638
Psychologist - Clinical in Belmont, MA

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
115 MILL ST, BELMONT, MA 02478(617) 855-2713 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John M Rodolico Ph.d. NPPES

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

JOHN M RODOLICO PH.D. (NPI 1043365638) is an individual clinical provider in Belmont, Massachusetts, licensed in Massachusetts (5024) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1043365638
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJOHN M RODOLICOCredential: PH.D.
Location Address115 MILL STBelmont, MA 02478-1041
Mailing Address115 Mill StBelmont, MA 02478-1041 · (617) 855-2713
Phone(617) 855-2713
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043365638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 5024
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.
115 MILL ST, Belmont, MA 02478
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Other Identifiers 2

Medicare ID-Type UnspecifiedW05010MA
OtherW05010MA · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John M Rodolico Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395849590
PECOS Enrollment IDI20070328000139
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02478 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

KATY TARELLA LICSW
Social Worker (Clinical)
115 MILL ST, MAILSTOP 137
BELMONT, MA 02478
Middlesex County (617) 855-4178
EVAN D MURRAY MD
Psychiatry & Neurology (Neurology)
115 MILL ST, MCLEAN HOSPITAL
BELMONT, MA 02478
Middlesex County (617) 855-2354
MIQVEH STEINHART
Social Worker (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3118
DANIELLE PACE PSYD
Psychologist (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-2000
DR. MARNI JOY CHANOFF MD
Psychiatry & Neurology (Psychiatry)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3937
DR. NANCY ANN HUXLEY PH.D.
Psychologist (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3645
JOAN MARTHA COTTLER LICSW
Social Worker (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3623
PROF. BRUCE MICHAEL COHEN M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3227

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 John Rodolico's NPI number?

The NPI number for John Rodolico is 1043365638. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is John Rodolico located?

John Rodolico practices at 115 Mill St, Belmont, MA 02478. The listed phone number is (617) 855-2713.

What is John Rodolico's specialty?

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

Is John Rodolico enrolled in Medicare?

Yes. John Rodolico is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Rodolico was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.