DR. NICOLINA MARIE FEDELE PH.D.
NPI 1316901911
Psychologist - Clinical in Wayland, MA

Q: What is Nicolina Fedele's NPI number?

The NPI number for Nicolina Fedele is 1316901911. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Q: What is Nicolina Fedele's specialty?

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

Q: Is Nicolina Fedele enrolled in Medicare?

No. Nicolina Fedele has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Nicolina Fedele was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 12, 2006Opted out of Medicare · through Jul 1, 2028

36 STONEBRIDGE RD, WAYLAND, MA 01778(508) 655-4517(508) 655-4517 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Dr. Nicolina Marie Fedele Ph.d. NPPES

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

DR. NICOLINA MARIE FEDELE PH.D. (NPI 1316901911) is an individual clinical provider in Wayland, Massachusetts, licensed in Massachusetts (3522) and active in the NPI registry since April 2006. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1316901911

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NICOLINA MARIE FEDELECredential: PH.D.

Location Address36 STONEBRIDGE RDWayland, MA 01778-3023

Mailing Address36 Stonebridge RdWayland, MA 01778-3023 · (508) 655-4517 · Fax (508) 655-4517

Phone(508) 655-4517

Fax(508) 655-4517

Sole ProprietorYes

Enumeration DateApril 12, 2006

Last NPPES UpdateOctober 21, 2011

✔ NPI 1316901911 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 · 3522

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.

36 STONEBRIDGE RD, Wayland, MA 01778

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Other Identifiers 4

Medicare ID-Type UnspecifiedW03547MA · Medicare

OtherW03457MA · Bcbs

Other644665MA · Hphc

Other718017MA · Tufts

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Nicolina Marie Fedele Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2020 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2020

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Nicolina Fedele's NPI number?

The NPI number for Nicolina Fedele is 1316901911. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Nicolina Fedele located?

Nicolina Fedele practices at 36 Stonebridge Rd, Wayland, MA 01778. The listed phone number is (508) 655-4517.

What is Nicolina Fedele's specialty?

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

Is Nicolina Fedele enrolled in Medicare?

No. Nicolina Fedele has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nicolina Fedele was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.