Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Therese Cicolello, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104385434

Katherine Therese Cicolello, MD is a Psychiatry in Cambridge, Massachusetts. Qualified in 2019, 7 years ago. Practices with The Commonwealth of Massachusetts, a 144-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1493 Cambridge St
Cambridge, MA 02139-1047
Phone: (617) 665-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104385434
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 16, 2019
Last updated in NPPESMarch 16, 2019

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Commonwealth Of Massachusetts — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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