DR. MAYRON PEREIRA PICCOLO RIBEIRO PHD
NPI 1225612070
Psychologist in Cambridge, MA

Active since May 07, 2021PECOS Enrolled
1493 CAMBRIDGE ST RM 239, CAMBRIDGE, MA 02139(617) 575-5399 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2024, May 12, 2021, May 7, 2021 (3 updates tracked since 2021).

About Dr. Mayron Pereira Piccolo Ribeiro Phd NPPES

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

DR. MAYRON PEREIRA PICCOLO RIBEIRO PHD (NPI 1225612070) is an individual psychologist in Cambridge, Massachusetts and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225612070
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MAYRON PEREIRA PICCOLO RIBEIROCredential: PHD
Location Address1493 CAMBRIDGE ST RM 239Cambridge, MA 02139-1099
Mailing Address1493 Cambridge St Rm 239Cambridge, MA 02139-1099 · (617) 575-5399
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 7, 2021
Last NPPES UpdateAugust 16, 20243 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
NPI 1225612070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedBehavior AnalystTaxonomy 103K00000X · License LABA10000100 (MA)
1493 CAMBRIDGE ST RM 239, Cambridge, MA 02139

Other Names 1

Former Name (1)Dr. Mayron Pereira Picolo Ribeiro Phd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mayron Pereira Piccolo Ribeiro Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335638840
PECOS Enrollment IDI20251027000138
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.

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.

Counselor (Mental Health)
1493 CAMBRIDGE ST RM 239
CAMBRIDGE, MA 02139
Student in an Organized Health Care Education/Training Program
1493 CAMBRIDGE ST RM 239
CAMBRIDGE, MA 02139
Clinical Neuropsychologist
1493 CAMBRIDGE ST RM 239
CAMBRIDGE, MA 02139
Student in an Organized Health Care Education/Training Program
1493 CAMBRIDGE ST RM 239
CAMBRIDGE, MA 02139
Student in an Organized Health Care Education/Training Program
1493 CAMBRIDGE ST RM 239
CAMBRIDGE, MA 02139
Psychiatric Hospital
1493 CAMBRIDGE ST RM 239
CAMBRIDGE, MA 02139
Student in an Organized Health Care Education/Training Program
1493 CAMBRIDGE ST RM 239
CAMBRIDGE, MA 02139
Psychologist
1493 CAMBRIDGE ST RM 239
CAMBRIDGE, MA 02139

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 Mayron Pereira Piccolo Ribeiro's NPI number?

The NPI number for Mayron Pereira Piccolo Ribeiro is 1225612070. It was assigned to this individual provider in the NPPES registry on May 7, 2021. The provider is also known as Dr. Mayron Pereira Picolo Ribeiro Phd.

Where is Mayron Pereira Piccolo Ribeiro located?

Mayron Pereira Piccolo Ribeiro practices at 1493 Cambridge St Rm 239, Cambridge, MA 02139. The listed phone number is (617) 575-5399.

What is Mayron Pereira Piccolo Ribeiro's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mayron Pereira Piccolo Ribeiro enrolled in Medicare?

Yes. Mayron Pereira Piccolo Ribeiro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mayron Pereira Piccolo Ribeiro was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.