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DR. MICHAEL RUNDLETT PSYD NPI 1306936505


NPI Information

NPI: 1306936505
Provider Name: DR. MICHAEL RUNDLETT, PSYD
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
169 LIBBEY INDUSTRIAL PKWY
2ND FLOOR
WEYMOUTH, MA
ZIP 02189
Phone: (781) 682-1060
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DR. Michael Rundlett, PSYD is a clinical psychologist in Weymouth, MA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Michael Rundlett, PSYD NPI is 1306936505. 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:

169 LIBBEY INDUSTRIAL PKWY
2ND FLOOR
WEYMOUTH, MA
ZIP 02189-101
Phone: (781) 682-1060
Fax: (781) 682-1061

The NPI 1306936505 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 10/16/2006 and was last updated on 3/8/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TH0100XPsychologistHealth Service4877MASSACHUSETTSNo
2103TC0700XPsychologistClinical4877MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16192642OTHERMASSACHUSETTSEVERCARE PROVIDER NUMBER
2W04645MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSMEDICARE PROVIDER NUMBER
3110251000OTHERMASSACHUSETTSMAGELLAN PROVIDER NUMBER
4020923OTHERMASSACHUSETTSVALUE OPTIONS PROVIDER NU
5W04645OTHERMASSACHUSETTSBCBS PROVIDER NUMBER

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.