Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ryan Gazzola, PHD

Individual provider Psychologist · NPI 1477760775

Dr. Ryan Gazzola, PHD is a Clinical Psychologist in Cambridge, Massachusetts. Qualified in 2012, 14 years ago. Practices with Colony Care Inc, a 29-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
14
Licensed in
MA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

872 Massachusetts Ave Ste 2-2 2-7
Cambridge, MA 02139
Phone: (617) 395-5806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 9890 (MA)
Psychologist Taxonomy 103T00000X

Record details

NPI number1477760775
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESMarch 3, 2015
Mailing address1000 Jefferson St., Suite 2c, Lynchburg, VA 24504

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Colony Care Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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