Healthcare Provider Details

I. General information

NPI: 1376409730
Provider Name (Legal Business Name): TINA MASSAGLIA
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1094 WORCESTER RD
FRAMINGHAM MA
01702-5255
US

IV. Provider business mailing address

22 OAK HILL RD
FAYVILLE MA
01745-1013
US

V. Phone/Fax

Practice location:
  • Phone: 508-661-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN2362924
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: