Chiodetti, Thomas
Chiodetti, Thomas is an sole proprietor health care provider with primary practice located at 350 Gifford St Suite 13, Falmouth MA 02540-2918. He recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Chiodetti, Thomas can be contacted via phone (508) 457-7222.Contact Information
Primary practice address
350 Gifford St Suite 13
Falmouth MA 02540-2918
Phone: (508) 457-7222
Fax: (508) 540-5148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSYCHOLOGIST6705 | Massachusetts |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | PSYCHOLOGIST6705 | Massachusetts |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | PSYCHOLOGIST6705 | Massachusetts |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSYCHOLOGIST6705 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSYCHOLOGIST6705 | Massachusetts |
| Behavioral Health & Social Service Providers / Exercise & Sports | 103TE1100X | PSYCHOLOGIST6705 | Massachusetts |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | PSYCHOLOGIST6705 | Massachusetts |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | PSYCHOLOGIST6705 | Massachusetts |
| Behavioral Health & Social Service Providers / School | 103TS0200X | PSYCHOLOGIST6705 | Massachusetts |
Profile Details
| NPI number | 1124186986 |
|---|---|
| LBN Legal business name | Chiodetti, Thomas |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124186986 | NPPES |
| Massachusetts | Other | W05410 | BCBS |
| Massachusetts | Other | 198339 | BCBS |
| Massachusetts | MEDICAID | 0525383 | BCBS |
| Massachusetts | Other | 007980 | BCBS |
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