Stuart Wachter, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

56398 Issued in MA

Practice address

John Cuming BLDG, 131 Ornac
Suite 580
Concord, MA 01742-4191

Phone

(978) 371-9690

Fax

(978) 371-9691

NPI assigned

Jun 26, 2006

Last updated

Sep 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Stuart Wachter, M.D., P.C.

  dba Concord Psychiatric Associates

  • Psychiatry Physician
  • Concord, MA
  • NPI 1396924627
  NPD (past) Authorized official

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1124055363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOHN CUMING BLDG, 131 ORNAC",
            "address_2": "SUITE 580",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424191",
            "telephone_number": "978-371-9690",
            "fax_number": "978-371-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHN CUMING BLDG, 131 ORNAC",
            "address_2": "SUITE 580",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424191",
            "telephone_number": "978-371-9690",
            "fax_number": "978-371-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHTER",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "56398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "J05543",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel H Vogel, M.D.
• Volunteers of America-Concord Park
• Lynne Volz, MA
• Andrew George Vultaggio, DMD
• Stephen Mario Vultaggio, D.D.S.
• Sara Wagg, LMHC
• Maria E Walazek, RD, LDN
• Walden Pond Pediatrics, PC
• Sean Waldron
• Walgreen Co (Walgreens #19455)

• Psychiatry Physician in Concord, MA
• Providers in Concord, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.