DAPHNE ROLLANDE CLAUDOMIR (M. ED.) – Mental Health Counselor, NPI 1063714384

DAPHNE ROLLANDE CLAUDOMIR (M. ED.) is a healthcare provider. based in Randolph, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M. ED.. The NPI Number for DAPHNE ROLLANDE CLAUDOMIR (M. ED.) is 1063714384

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DAPHNE ROLLANDE CLAUDOMIR (M. ED.)
NPI
1063714384
Phone
(781) 885-7530
Address
21 Mazzeo Dr Ste 102
Enumeration Date
18 November 2010
Last Update Date
23 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7818857530
Graduation Year
2011 (15 years ago)
PAC ID
0244570752
Group Practice PAC ID
9436499944
Professional Enrollment ID
I20240111002974
Address ID
MA023683448RA21XXXDRXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:15State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for DAPHNE ROLLANDE CLAUDOMIR (M. ED.)

  • 21 Mazzeo Dr Ste 102

    Randolph, MA 023683448

    Phone: (781) 885-7530

    Type: Location

  • 4 FRANK LEARY WAY UNIT 4

    RANDOLPH, MA 023684512

    Phone: (781) 885-7530

    Type: Mailing

  • 4 Frank Leary Way Unit 4

    Randolph, MA 02368

    Phone: (781) 885-7530

    Type: Location

  • 1500 Gateway Blvd Ste 220

    Boynton Beach, FL 334267233

    Phone: (781) 437-7507

    Fax: (781) 394-5884

    Type: Location

  • 5700 Lake Worth Rd Ste 106

    Greenacres, FL 334633213

    Phone: (561) 727-8635

    Type: Location

  • PO BOX 4414

    BOYNTON BEACH, FL 334244414

    Phone: (781) 885-7530

    Type: Mailing

  • 966 PARK ST STE A2

    STOUGHTON, MA 020723664

    Phone: (781) 885-7530

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240104004265IMental Health CounselorFLTBD
I20240111002974IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02368)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436499944View full group profile
NameSpecialtyState
Nurse PractitionerMA

Reviews

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Frequently asked questions

Is there an official ID for DAPHNE ROLLANDE CLAUDOMIR (M. ED.) in U.S. healthcare records?
The official identifier for DAPHNE ROLLANDE CLAUDOMIR (M. ED.) is NPI 1063714384.
Is there an active status for DAPHNE ROLLANDE CLAUDOMIR (M. ED.)?
For scheduling context, DAPHNE ROLLANDE CLAUDOMIR (M. ED.) is shown as active in the registry.
How would a patient describe DAPHNE ROLLANDE CLAUDOMIR (M. ED.)'s focus?
For DAPHNE ROLLANDE CLAUDOMIR (M. ED.), the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with DAPHNE ROLLANDE CLAUDOMIR (M. ED.)?
Directory geography for DAPHNE ROLLANDE CLAUDOMIR (M. ED.) centers on Randolph, Massachusetts.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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