Matthew Fasano, PSYD
NPI 1720634587 · Clinical Psychologist · Waltham, MA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Fasano, PSYD is a Clinical Psychologist provider in Waltham, MA (NPI 1720634587).
Provider details
- NPI number
- 1720634587
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- No
- License
- 11129 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 300 Longwood AveBoston, MA 02115-5724Phone: (617) 355-6000
Registry dates
- Enumerated
- 2019-08-16
- Last updated
- 2019-11-06
Frequently asked questions
- What is Matthew Fasano's NPI number?
- Matthew Fasano's National Provider Identifier (NPI) is 1720634587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Fasano's specialty?
- Matthew Fasano is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Matthew Fasano located?
- Matthew Fasano's practice location on file with NPPES is 9 Hope Ave, Waltham, MA 02453-2741.
- What is Matthew Fasano's phone number?
- The practice phone number listed in the NPPES registry for Matthew Fasano is (781) 216-2100.
- Does Matthew Fasano accept Medicare?
- Matthew Fasano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Fasano's NPI active?
- Yes — Matthew Fasano's NPI (1720634587) is active in the NPPES registry as of the last update on 2019-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.