Individual ProviderAnthony TranielloPsychologistBehavioral Health & Social Service ProvidersPractice Address1500 Providence Hwy, Suite 22b, Norwood, MA 02062-4630(781) 255-0070PECOS EnrollmentBased on the most recent information from CMS, provider Anthony Traniello does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1013992809Provider TypeIndividualFull NameTraniello, AnthonyTitleDr.CredentialPHDGenderMaleSole ProprietorNoEnumeration Date12/14/2005Last Updated3/25/2021Contact InformationPractice LocationPractice Address1500 Providence Hwy, Suite 22b, Norwood, MA 02062-4630Phone(781) 255-0070Fax(866) 442-9954Mailing LocationMailing Address93 Gilder Rd, Bourne, MA 02532-3528Phone(781) 255-0070Fax(866) 442-9954Provider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense6059MassachusettsProvider IdentifiersIDDescriptionIssuerID0521566DescriptionMedicaidIssuerUnlistedMassachusettsIDW04922DescriptionOtherIssuerBLUE CROSS BLUE SHIELDMassachusetts