ROBERT MICHAEL TRUDEL NPI 1356415079

NPI Information

NPI: 1356415079
Provider Name: ROBERT MICHAEL TRUDEL
Classification: Psychologist - 103TH0100X
Entity Type: Individual

Specialization: Health Service

PECOS Registration: Yes

Address:
390 MAIN ST
SUITE 547
WORCESTER, MA
ZIP 01608
Phone: (508) 754-0398
Get Directions

Robert Michael Trudel is a health service psychologist in Worcester, MA. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Robert Michael Trudel NPI is 1356415079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

390 MAIN ST
SUITE 547
WORCESTER, MA
ZIP 01608-583
Phone: (508) 754-0398

The NPI 1356415079 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TH0100X	Psychologist	Health Service	2277	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W02424	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	25700-00	OTHER	MASSACHUSETTS	CIGNA
3	701795	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
4	008865	OTHER	MASSACHUSETTS	HARVARD PILGRIM
5	W10066	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
6	7049	OTHER	MASSACHUSETTS	UNITED BEHAVIORAL HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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