Kathryn Dardeck, EDD

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

4449 Issued in MA

Practice address

175 Derby St Ste 20
Hingham, MA 02043-4051

Phone

(781) 361-3390

NPI assigned

Oct 23, 2006

Last updated

Aug 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Clinical Psychologist

Education

University of Massachusetts Medical School, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Neurobehavioral Associates III, Inc

  • Geriatric Psychiatry Physician
  • Weymouth, MA
  • NPI 1205926946

  Clinical

  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1053494286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 DERBY ST STE 20",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434051",
            "telephone_number": "781-361-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 DERBY ST STE 20",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020434051",
            "telephone_number": "781-361-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDECK",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4449",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "MA",
            "license": "4449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2034137",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PROVIDER NUMBER",
            "identifier": "6101039",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "W04342",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Roger Cyr, CMHC
• Mackenzie Loren Hunt Cyr, PA-C
• Shirin Dalili, D.M.D.
• Daniel J Schafft, DMD, LLC
• John Richard Daoust, DC
• Rachael A Darian, PMHNP, ANP-BC
• Jeffrey Boyd Darling, DMD
• Cyrena M Dasilva
• Deborah A Davis
• Yanniet De la Torre, BCBA

• Health Service Psychologist in Hingham, MA
• Providers in Hingham, MA by specialty
• Health Service Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.