Organization provider

MEDITELECARE OF MASSACHUSETTS, PLLC

Clinical Psychologist Clinical Social Worker Psychiatry Physician Medicare enrolled

MEDITELECARE OF MASSACHUSETTS, PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003496506, based in Boston, MA. The organization lists 6 taxonomy classifications, with Clinical Psychologist recorded as primary.

Getting there

Here is what surrounds this office in Boston, based on OpenStreetMap data collected Sep 8, 2026. Parking is available about 0.25 mi away at Harbor Garage. There is EV charging 0.34 mi from the office (ChargePoint) — useful if you are driving in from out of town. The nearest transit stop is 406 ft away, served by Congress St opp North St. A pharmacy sits 0.38 mi from the entrance (Rite Aid), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 584 ft away.

84 STATE ST, Boston, MA 02109 Open in Google Maps →

Getting here and what is nearby

Restaurant Zo Greek 84 ft ~1 min
Restaurant Al's State Street Cafe 232 ft ~1 min
Restaurant Dunkin' 252 ft ~1 min

111 State Street, Boston 02109

Mo-Fr 06:00-17:00; Sa-Su 07:00-16:00

+16175231451

Website

Directions in Google Maps →

Grocery Pepper Palace 273 ft ~2 min
Transit Congress St @ State St 305 ft ~2 min
Transit State Street Station 312 ft ~2 min
Coffee Cafe Pulse 396 ft ~2 min

199A Faneuil Hall Square

Directions in Google Maps →

Transit Congress St opp North St 406 ft ~2 min
Coffee Boston News Cafe 547 ft ~3 min
Hotel Hyatt Centric Faneuil 512 ft ~2 min

54-68 Devonshire Street, Boston 02109

Website

Directions in Google Maps →

Hotel Marriott Vacation Club Pulse® at Custom House 553 ft ~3 min

3 McKinley Square, Boston 02109

+1-617-310-6300

Website

Directions in Google Maps →

Coffee The Well 584 ft ~3 min

1-1A State Street

Mo-Fr 07:00-18:00; Sa 10:00-17:00

Website

Directions in Google Maps →

Convenience BNC Market 599 ft ~3 min

226 Washington Street

Directions in Google Maps →

Convenience 7-Eleven 719 ft ~3 min

177 State Street, Boston 02109

+1 617-720-6036

Website

Directions in Google Maps →

Parking Dock Square Parking Garage 737 ft ~3 min

20-30 Clinton Street, Boston 02109

Directions in Google Maps →

Hotel Harborside Inn 775 ft ~3 min

165 State Street, Boston 02109

+1 617-723-7500

Directions in Google Maps →

Convenience 7-Eleven 1,011 ft ~4 min
EV charging ChargePoint 0.20 mi ~5 min
Parking The Garage at Post Office Square 0.20 mi ~4 min

0 Post Office Square, Boston 02109

24/7

+1-617-423-1430

Website

Directions in Google Maps →

Pharmacy CVS Pharmacy 0.22 mi ~5 min

Mo-Fr 09:00-19:00; Sa 10:00-18:00; Su 11:00-17:00

Website

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Parking Harbor Garage 0.25 mi ~5 min

70 East India Row, Boston 02110

Mo-Fr 08:00-17:00; Sa-Su 09:00-12:00

Directions in Google Maps →

Pharmacy CVS Pharmacy 0.26 mi ~6 min

218 Hanover Street, Boston 02116

Mo-Su 07:00-24:00

Website

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Grocery Golden Goose Market 0.31 mi ~7 min

179 Commercial Street, Boston 02109

+1-617-367-3134

Website

Directions in Google Maps →

EV charging ChargePoint 0.34 mi ~7 min

83 Cambridge Street, Boston 02114

Website

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Grocery Roche Bros. 0.34 mi ~7 min

8 Summer Street, Boston 02110

Mo-Sa 07:00-21:00; Su 08:00-20:00

+1 617 456 5111

Directions in Google Maps →

Pharmacy Rite Aid 0.38 mi ~8 min

100 Cambridge Street, Boston 02114

Mo-Fr 07:00-20:00; Sa 08:00-18:00; Su 09:00-18:00

Directions in Google Maps →

OpenStreetMap via Overpass · ODbL 800 m radius Updated Sep 8, 2026

Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
8921417064
Enrollment ID
O20210503000425

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

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. NUCC Health Care Provider Taxonomy, code 103TC0700X
Behavioral Health & Social Service Providers ›Psychologist ›Clinical

All registered taxonomy codes

This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TC0700X Clinical Psychologist Clinical — — primary
1041C0700X Clinical Social Worker Clinical — —
2084P0800X Psychiatry Physician Psychiatry — —
2084P0805X Geriatric Psychiatry Physician Geriatric Psychiatry — —
363L00000X Nurse Practitioner — —
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health — —

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1003496506 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateApr 9, 2021
Last updatedMay 5, 2025
StatusActive
Practice address 84 STATE ST
Boston, MA 02109
(860) 788-6404
Fax (860) 829-0495
Mailing address PO BOX 1595
Middletown, CT 06457
This record was updated on May 5, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1003496506 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 4 9 6 5 0
Doubled? — ×2 — ×2 — ×2 — ×2 — ×2 — ×2 — ×2
Value 8 0 8 8 0 2 0 0 3 8 9 3 5 0

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003496506?
NPI 1003496506 is the National Provider Identifier assigned to MEDITELECARE OF MASSACHUSETTS, PLLC in Boston, MA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
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 --…
How do I contact MEDITELECARE OF MASSACHUSETTS, PLLC?
The phone number on file with NPPES is (860) 788-6404, last updated May 5, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does MEDITELECARE OF MASSACHUSETTS, PLLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Where do I park when visiting MEDITELECARE OF MASSACHUSETTS, PLLC?
Parking is about 0.25 mi from the office (Harbor Garage). The closest transit stop is 406 ft away, on Congress St opp North St. Distances are straight-line estimates from OpenStreetMap, so walking routes may be slightly longer.
Is NPI 1003496506 a valid number?
Yes. 1003496506 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.