DR. NICOLINA MARIE FEDELE PH.D.
NPI 1316901911
Psychologist - Clinical in Wayland, MA
- Individual
- Female
- Psychologist
- Clinical
- Opted-Out Medicare
About NICOLINA FEDELE
This page provides the complete NPI Profile along with additional information for Nicolina Fedele, a provider established in Wayland, Massachusetts with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1316901911 assigned on April 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 3522 (MA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1316901911 Verify this NPI
- Provider Name
- DR. NICOLINA MARIE FEDELE PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 36 STONEBRIDGE RD WAYLAND, MA 01778
- Location Phone
- (508) 655-4517
- Location Fax
- (508) 655-4517
- Mailing Address
- 36 STONEBRIDGE RD WAYLAND, MA 01778
- Mailing Phone
- (508) 655-4517
- Mailing Fax
- (508) 655-4517
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-12-2006
- Last Update Date
- 10-21-2011
- Code Navigator
A clinical psychologist like Nicolina Fedele assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Nicolina Fedele opted out of Medicare effective on 07-01-2020 until 07-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 3522
- License State
- MA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| W03547 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | MEDICARE |
| W03457 | OTHER (01) | MA | BCBS |
| 644665 | OTHER (01) | MA | HPHC |
| 718017 | OTHER (01) | MA | TUFTS |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2020
Opt-Out End Date: 07-01-2026
Eligible to Order and Refer? No
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316901911, enumerated as an "individual" on April 12, 2006.
The provider is located at 36 STONEBRIDGE RD WAYLAND, MA 01778 and the phone number is (508) 655-4517.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.
