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IDALIANA MEDINA M.ED.
NPI 1467068866
Psychologist - Clinical Child & Adolescent in Worcester, MA

Active since September 21, 2020
11 SYCAMORE ST, WORCESTER, MA 01608(508) 798-1900 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Idaliana Medina M.ed. NPPES

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

IDALIANA MEDINA M.ED. (NPI 1467068866) is an individual clinical child & adolescent provider in Worcester, Massachusetts and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1467068866
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameIDALIANA MEDINACredential: M.ED.
Location Address11 SYCAMORE STWorcester, MA 01608-2213
Mailing AddressPo Box 73Worcester, MA 01613-0073
Phone(508) 798-1900
Sole ProprietorNo
Enumeration DateSeptember 21, 2020
NPPES CertifiedSeptember 18, 2020
✔ NPI 1467068866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
11 SYCAMORE ST, Worcester, MA 01608
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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.

PAULINE PATIENCE KPANNAH
Social Worker
11 SYCAMORE ST
WORCESTER, MA 01608
Worcester County (508) 798-1900
SOCORRO ORTIZ
Counselor (Mental Health)
11 SYCAMORE ST
WORCESTER, MA 01608
Worcester County (508) 798-1900
ALEXIS STONE
Psychologist (Clinical Child & Adolescent)
11 SYCAMORE ST
WORCESTER, MA 01608
Worcester County (508) 826-3251
LORNA E ANDINO
Counselor (Mental Health)
11 SYCAMORE ST
WORCESTER, MA 01608
Worcester County (508) 798-1900
NATALIE GONZALEZ
Counselor (Mental Health)
11 SYCAMORE ST
WORCESTER, MA 01608
Worcester County (508) 798-1900
SHEENA MARIE GONZALEZ
Counselor
11 SYCAMORE ST
WORCESTER, MA 01608
Worcester County (508) 798-1900
JULIA DAVIS MSW
Counselor (Mental Health)
11 SYCAMORE ST
WORCESTER, MA 01608
Worcester County (508) 798-1900
ALBERTO FRATICELLI
Counselor (Mental Health)
11 SYCAMORE ST
WORCESTER, MA 01608
Worcester County (508) 798-1900

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 Idaliana Medina's NPI number?

The NPI number for Idaliana Medina is 1467068866. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Idaliana Medina located?

Idaliana Medina practices at 11 Sycamore St, Worcester, MA 01608. The listed phone number is (508) 798-1900.

What is Idaliana Medina's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Idaliana Medina was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.