MICHELE CASOLI-REARDON (MD) – Child & Adolescent Psychiatry Physician, NPI 1285748186
Child & Adolescent Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,743 PSYCHIATRY in MA
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Provider Addresses for MICHELE CASOLI-REARDON (MD)
172, Lafayette Street, South Salem, Salem, Essex County, Massachusetts, 0197, United States
SALEM, MA 01970
Phone: (978) 744-4033
Fax: (978) 740-4996
Type: Location
200 MAY ST.
SOUTH ATTLEBORO, MA 02703
Phone: (508) 838-2284
Fax: (508) 838-2200
Type: Mailing
North Shore Medical Center - Salem Hospital, 81, Highland Avenue, Salem, Essex County, Massachusetts, 01970, United States
NORTH SHORE HEALTH SYSTEMS
SALEM, MA 01970
Phone: (978) 354-4173
Type: Mailing
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: 2004-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041006000447 | I | Psychiatry | MA | TBD |
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.
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 01970)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | MA | 90792 | Psychiatric diagnostic evaluation with medical services | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MA | |
| Nurse Practitioner | MA | |
| P S Y C H I A T R Y | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| - | MA | |
| Nurse Practitioner | RI | |
| Internal Medicine | MA |
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