DR. THADDEUS RONALD MOGILNICKI (ED.D.) – Clinical Psychologist, NPI 1992874978

DR. THADDEUS RONALD MOGILNICKI (ED.D.) is a healthcare provider. based in Plymouth, Massachusetts. specializing in Clinical Psychologist. They hold the professional credentials ED.D.. They hold a License No. 912 (MA). The NPI Number for DR. THADDEUS RONALD MOGILNICKI (ED.D.) is 1992874978

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. THADDEUS RONALD MOGILNICKI (ED.D.)
NPI
1992874978
Phone
(508) 747-2718
Address
323 COURT ST
Enumeration Date
6 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087472718
Graduation Year
1973 (53 years ago)
PAC ID
7012820681
Group Practice PAC ID
8628171501
Professional Enrollment ID
I20031110000456
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. THADDEUS RONALD MOGILNICKI (ED.D.)

  • 323, Court Street, Brockton, Plymouth County, Massachusetts, 02303, United States

    PLYMOUTH, MA 023604322

    Phone: (508) 747-2718

    Fax: (508) 747-5209

    Type: Location

  • 12, Shawme Road, Sandwich, Barnstable County, Massachusetts, 02563, United States

    SANDWICH, MA 025632336

    Phone: (508) 888-4721

    Fax: (508) 747-5209

    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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 02360)

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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: 8628171501View full group profile
NameSpecialtyState
Clinical Social WorkerMA
-MA
-MA
Clinical PsychologistMA
Clinical PsychologistMA
Clinical PsychologistMA
Clinical PsychologistMA
Clinical PsychologistMA
P S Y C H I A T R YMA
-MA

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Frequently asked questions

Can I use this page to confirm DR. THADDEUS RONALD MOGILNICKI (ED.D.)'s NPI?
Yes. DR. THADDEUS RONALD MOGILNICKI (ED.D.) is listed with NPI 1992874978 in the public NPI dataset.
Is DR. THADDEUS RONALD MOGILNICKI (ED.D.) listed as active for patients and plans?
The listing shows DR. THADDEUS RONALD MOGILNICKI (ED.D.) as active in the NPI system.
What is DR. THADDEUS RONALD MOGILNICKI (ED.D.)'s primary classification?
Clinical Psychologist is the headline specialty for DR. THADDEUS RONALD MOGILNICKI (ED.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. THADDEUS RONALD MOGILNICKI (ED.D.) on a map?
Expect Plymouth, Massachusetts as a primary anchor for DR. THADDEUS RONALD MOGILNICKI (ED.D.) unless the record lists multiple sites.
Why does DR. THADDEUS RONALD MOGILNICKI (ED.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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