Dedham Consultation Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

DEDHAM CONSULTATION CENTER LLC

Practice address

339 Washington St
Dedham, MA 02026-1870

Phone

(781) 407-7770

NPI assigned

Jun 8, 2016

Organization subpart

No

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

Authorized official

Name

Bernadino Vaccaro, MD

Title

Owner

Phone

(781) 407-7770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlotte Alex Maguire, PMHNP-BC

  • Psychiatry Physician
  • Dedham, MA
  • NPI 1861592313
  Medicare reassignment Care Compare group NPD
• Gabriella Marciante, MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dedham, MA
  • NPI 1528510310
  Medicare reassignment Care Compare group NPD
• Hannah Mello, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dedham, MA
  • NPI 1447992730
  Medicare reassignment Care Compare group NPD
• Bernardino Vaccaro, MD

  • Psychiatry Physician
  • Dedham, MA
  • NPI 1538125299
  Medicare reassignment Care Compare group NPD
• David William Werner, PSY. D

  • Cognitive & Behavioral Psychologist
  • Dedham, MA
  • NPI 1033149984
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1104275346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 WASHINGTON ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261870",
            "telephone_number": "781-407-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 WASHINGTON ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020261870",
            "telephone_number": "781-407-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDHAM CONSULTATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "VACCARO",
        "authorized_official_first_name": "BERNADINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-407-7770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patricia Ann Dazet, LAC
• Jennifer De la Cruz
• Caroline Decoste
• Dedham Acupuncture, LLC
• Dedham Dental Associates, LLC
• Dedham Dentist, P.C.
• Dedham Family Dental Care PC
• Dedham Family Dental, P.C.
• Dedham Medical Assoc

• Mental Health Counselor in Dedham, MA
• Providers in Dedham, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.