Healthcare Provider Details

I. General information

NPI: 1760393912
Provider Name (Legal Business Name): TCC HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 FREDRICKSON RD
NORFOLK MA
02056-1721
US

IV. Provider business mailing address

8 FREDRICKSON RD
NORFOLK MA
02056-1721
US

V. Phone/Fax

Practice location:
  • Phone: 401-692-2393
  • Fax:
Mailing address:
  • Phone: 401-692-2393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TRAVIS CALDARONE
Title or Position: OWNER
Credential: MS, CRNA, PMHNP-BC
Phone: 401-692-2393