Individual provider Active NPI

Peter Y Fifield

  • Mental Health Counselor
  • Dover, NH
National Provider Identifier
1063727147
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
816 Issued in NH
Practice address
798 Central Ave
Dover, NH 03820-2520
Phone
(603) 609-6690
Fax
(603) 609-6691
NPI assigned
Aug 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 816 NH Primary

Addresses

Primary practice location

798 Central Ave
Dover, NH 03820-2520

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (603) 742-9200

Other identifiers 1

IdentifierTypeStateIssuer
3077739MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20240109003636 NH Practitioner - Mental Health Counselor 1254782758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

798 Central Ave
Dover, NH 03820-2520
Phone (603) 609-6690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
816NHMDPsychologist
0885NHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 1, 2024 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 1, 2024 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation PastSince Jan 1, 2024 Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

15 Old Rollinsford Rd
Ste 302
Dover, NH 03820
Phone 6036096690 ext. 7976

798 Central Ave
Dover, NH 03820
Phone (603) 609-6690

15 Old Rollinsford Rd
Ste 301
Dover, NH 03820
Phone (603) 609-6690

Interoperability endpoints

  • Direct secure messaging: fifield.peter.wdh@direct.partners.masshiway.net

Organizations & group practices 5

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": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1063727147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-742-9200",
            "fax_number": "603-742-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202520",
            "telephone_number": "603-609-6690",
            "fax_number": "603-609-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIFIELD",
        "first_name": "PETER",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-12",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3077739",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.