1. Home
  2. Directory
  3. Massachusetts
  4. Waltham
  5. Counselor
  6. NPI Profile

THEODORE DISCISCIO
NPI 1447911482
Counselor - Mental Health in Waltham, MA

Active since January 03, 2022
59 CAUGHEY ST, WALTHAM, MA 02451(781) 910-5381 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theodore Disciscio NPPES

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

THEODORE DISCISCIO (NPI 1447911482) is an individual mental health provider in Waltham, Massachusetts, licensed in Massachusetts (11513) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1447911482
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTHEODORE DISCISCIO
Location Address59 CAUGHEY STWaltham, MA 02451-3787
Mailing Address59 Caughey StWaltham, MA 02451-3787
Phone(781) 910-5381
Sole ProprietorYes
Enumeration DateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
✔ NPI 1447911482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · 11513
59 CAUGHEY ST, Waltham, MA 02451
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Theodore Disciscio's NPI number?

The NPI number for Theodore Disciscio is 1447911482. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Theodore Disciscio located?

Theodore Disciscio practices at 59 Caughey St, Waltham, MA 02451. The listed phone number is (781) 910-5381.

What is Theodore Disciscio's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Theodore Disciscio was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.