PETER JEROME MOULTON
NPI 1669952032
Student in an Organized Health Care Education/Training Program in Waltham, MA

Active since August 15, 2018
77 RUMFORD AVE, WALTHAM, MA 02453(781) 894-4325 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2019, Jun 20, 2019, Aug 15, 2018 (3 updates tracked since 2018).

About Peter Jerome Moulton NPPES

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

PETER JEROME MOULTON (NPI 1669952032) is an individual student in an organized health care education/training program in Waltham, Massachusetts and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1669952032
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePETER JEROME MOULTON
Location Address77 RUMFORD AVEWaltham, MA 02453-3872
Mailing Address77 Rumford AveWaltham, MA 02453-3872
Sole ProprietorYes
Enumeration DateAugust 15, 2018
Last NPPES UpdateSeptember 20, 20193 updates tracked since enumeration
NPI 1669952032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
77 RUMFORD AVE, Waltham, MA 02453

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.

Social Worker (Clinical)
77 RUMFORD AVE
WALTHAM, MA 02453
Social Worker (Clinical)
77 RUMFORD AVE
WALTHAM, MA 02453
Counselor (Mental Health)
77 RUMFORD AVE
WALTHAM, MA 02453
Social Worker (Clinical)
77 RUMFORD AVE
WALTHAM, MA 02453
Student in an Organized Health Care Education/Training Program
77 RUMFORD AVE
WALTHAM, MA 02453
Social Worker (Clinical)
77 RUMFORD AVE
WALTHAM, MA 02453
Social Worker (Clinical)
77 RUMFORD AVE
WALTHAM, MA 02453
Social Worker (Clinical)
77 RUMFORD AVE
WALTHAM, MA 02453

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 Peter Moulton's NPI number?

The NPI number for Peter Moulton is 1669952032. It was assigned to this individual provider in the NPPES registry on August 15, 2018.

Where is Peter Moulton located?

Peter Moulton practices at 77 Rumford Ave, Waltham, MA 02453. The listed phone number is (781) 894-4325.

What is Peter Moulton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Peter Moulton was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.