DR. RYAN GAZZOLA PH.D
NPI 1477760775
Psychologist in Cambridge, MA

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
872 MASSACHUSETTS AVE., STE. 2-2, 2-7, CAMBRIDGE, MA 02139(617) 395-5806 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Ryan Gazzola Ph.d NPPES

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

DR. RYAN GAZZOLA PH.D (NPI 1477760775) is an individual psychologist in Cambridge, Massachusetts, licensed in Massachusetts (9890) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1477760775
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. RYAN GAZZOLACredential: PH.D
Location Address872 MASSACHUSETTS AVE., STE. 2-2, 2-7Cambridge, MA 02139
Mailing Address1000 Jefferson St., Suite 2cLynchburg, VA 24504 · (617) 379-0496 · Fax (617) 807-0958
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 17, 2007
Last NPPES UpdateMarch 3, 2015
NPI 1477760775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 9890
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.

872 MASSACHUSETTS AVE., Cambridge, MA 02139

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ryan Gazzola Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335365469
PECOS Enrollment IDI20140728000259
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Addiction Medicine)
872 MASSACHUSETTS AVE., STE. 2-2, 2-7
CAMBRIDGE, MA 02139
Psychologist
872 MASSACHUSETTS AVE., STE. 2-2, 2-7
CAMBRIDGE, MA 02139
Social Worker (Clinical)
872 MASSACHUSETTS AVE., STE. 2-2, 2-7
CAMBRIDGE, MA 02139
Counselor (Professional)
872 MASSACHUSETTS AVE., STE. 2-2, 2-7
CAMBRIDGE, MA 02139
Psychologist
872 MASSACHUSETTS AVE., STE. 2-2, 2-7
CAMBRIDGE, MA 02139
Psychologist
872 MASSACHUSETTS AVE., STE. 2-2, 2-7
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 Ryan Gazzola's NPI number?

The NPI number for Ryan Gazzola is 1477760775. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Ryan Gazzola located?

Ryan Gazzola practices at 872 Massachusetts Ave. Ste. 2-2, 2-7, Cambridge, MA 02139. The listed phone number is (617) 395-5806.

What is Ryan Gazzola's specialty?

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

Is Ryan Gazzola enrolled in Medicare?

Yes. Ryan Gazzola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ryan Gazzola accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Ryan Gazzola as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Gazzola was last updated on March 3, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.