Dr. Michael Rundlett
Psychologist (Clinical)

Address: 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101
Phone: 7816821060

Dr. Michael Rundlett (NPI# 1306936505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1306936505
Entity Type Individual
Full Name Dr. Michael Rundlett
Credential PSYD
Gender Male
Practice Address 169 Libbey Industrial Pkwy
2nd Floor
Weymouth
MA 02189-3101
Practice Telephone 7816821060
Practice Fax Number 7816821061
Mailing Address 169 Libbey Industrial Pkwy
2nd Floor
Weymouth
MA 02189-3101
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-10-16
Last Update Date 2010-03-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 103TH0100X Psychologist · Health Service Behavioral Health & Social Service Providers 4877 MA
Yes 103TC0700X Psychologist · Clinical Behavioral Health & Social Service Providers 4877 MA

Other Provider Identifier

State Identifier Issuer Type Code
MA 020923 OTHER VALUE OPTIONS PROVIDER NU
MA 6192642 OTHER EVERCARE PROVIDER NUMBER
MA W04645 OTHER BCBS PROVIDER NUMBER
MA 110251000 OTHER MAGELLAN PROVIDER NUMBER

Physician Overview

NPI 1306936505
PAC ID by PECOS 2466435797
Professional Enrollment ID I20040609000325
Full Name Michael J Rundlett
Phone Number 6177503185
Gender M
Credential CP
Graduation Year 1988
Primary Specialty CLINICAL PSYCHOLOGIST
Accepts Medicare Assignment Y

Office Location

Street Address 169 LIBBEY INDUSTRIAL PKWY
2ND FLOOR
City WEYMOUTH
State MA
Zip Code 02189-3101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366452153 Maria M Vazquez Psychologist 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 2006-08-08
1679042550 Alison Elizabeth Weiner Student in an Organized Health Care Education/Training Program 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3101 2018-11-20
1154845329 Caroline Byron Student in an Organized Health Care Education/Training Program 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3101 2017-07-31
1598114308 Meredith Tumilty Psychologist 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 2016-06-13
1972972065 Melissa Stone Psychologist 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3101 2015-09-18
1841612660 Dorothie Ferdinand Psychologist 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 2014-01-14
1710326962 Alexandra Nelson Psychologist 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 2013-06-20
1932548120 Hart K Maccardell-fossel Psychologist 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 2013-06-20
1396066874 Roger Pottanat Psychiatry & Neurology 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 2010-06-18
1487983169 John-paul Arena Social Worker 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 2009-12-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336668011 Svetlana Chentsova Nurse Practitioner 51 Performance Dr Fl Drive, Weymouth, MA 02189 2017-09-14
1518487818 Dana Shepherd Specialist/Technologist 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 2017-06-27
1417326604 Ocean State Urgent Care Physician Assistant 119 Liberty Bell Cir, Weymouth, MA 02189 2015-09-18
1558746636 Jaime Hill Nurse Practitioner 31 Charles Street, Weymouth, MA 02189 2015-07-30
1023302445 Veena Thomas Mathew Student in an Organized Health Care Education/Training Program 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 2011-06-02
1780865337 James Tyler Carpenter Psychologist Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 2007-11-23
1508054248 Anita Nathan Shukla Ophthalmology 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 2007-10-09
1750573887 Michele Donlon Speech-Language Pathologist 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 2007-08-13
1174725998 Mark J. Gorman Psychologist 51 Performance Dr., Weymouth, MA 02189 2007-06-04
1760575633 Carl A Gustafson Optometrist 649 Broad St, Weymouth, MA 02189 2006-10-02
Find all providers in zip 02189

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

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.
Notes: Source: American Psychological Association, www.apa.org [1/1/2019: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174725998 Mark J. Gorman Psychologist 51 Performance Dr., Weymouth, MA 02189 2007-06-04
1366452153 Maria M Vazquez Psychologist 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 2006-08-08
1487003745 Tessa Stratton Lundquist Psychologist 169 Libbey Pkwy, Second Floor, Weymouth, MA 02189-3101 2016-06-08
1972972065 Melissa Stone Psychologist 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3101 2015-09-18
1427350800 H Suzanne Moon, Phd, PC Psychologist 210 Winter St, Suite 105, Weymouth, MA 02188-3302 2010-11-17
1053494286 Kathryn Dardeck Psychologist 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 2006-10-23
1942383146 David Reinke Psychologist 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 2006-10-23
1710069109 Penelope Goldmuntz Psychologist 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 2006-10-19
1750461109 William Zella Psychologist 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 2006-10-17
1649350240 James Horvitz Psychologist 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 2006-10-17
Find all providers in WEYMOUTH

Competitor

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City WEYMOUTH
Zip Code 02189

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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