Individual provider Active NPI

Peter J Cherchia, PHD

  • Psychologist
  • Milford, MA
National Provider Identifier
1043301286
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1771 Issued in MA
Practice address
89 Main Street - Suite 407
Milford, MA 01757-2628
Phone
(508) 473-4984
Fax
(508) 482-7316
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1771 MA Primary

Addresses

Primary practice location

89 Main Street - Suite 407
Milford, MA 01757-2628

Mailing address

89 Main Street - Suite 407
Milford, MA 01757-2628
Phone (508) 473-4984

Other identifiers 1

IdentifierTypeStateIssuer
W0221301MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000356 MA Practitioner - Clinical Psychologist 3870753775 Practice locations: Milford, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

89 Main St
Suite 407
Milford, MA 01757-2600
Phone (508) 473-4984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1771MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Valley Counseling CurrentSince Jul 24, 2022 Accepting new patients

Locations

89 Main St
Ste 407
Milford, MA 01757
Phone (508) 473-4984

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043301286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN STREET - SUITE 407",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572628",
            "telephone_number": "508-473-4984",
            "fax_number": "508-482-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN STREET - SUITE 407",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572628",
            "telephone_number": "508-473-4984",
            "fax_number": "508-482-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERCHIA",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "1771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W0221301",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.