Michael Blazej Przydzielski, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

15847 Issued in NH

Practice address

36 Clinton St
Concord, NH 03301-2359

Phone

(603) 271-5300

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1124249735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RAYTON RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552214",
            "telephone_number": "603-727-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CLINTON ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012359",
            "telephone_number": "603-271-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYDZIELSKI",
        "first_name": "MICHAEL",
        "middle_name": "BLAZEJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NH",
            "license": "15847",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "0420012022",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "15847",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VT",
            "license": "0420012022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Prodger, M.D.
• Lisa Prospert, RDN
• Peter Proulx, MSW
• Darcy Lynelle Prouty, MS OTR/L
• Bernard Provencher, PHARM.D.
• Psychological Solutions of New Hampshire, LLC
• Pugliese Dental, PLLC
• Kayla Pugliese, BA
• Mark Girard Pugliese II, DMD
• Danielle Puopolo, MS, LCMHC

• Child & Adolescent Psychiatry Physician in Concord, NH
• Providers in Concord, NH by specialty
• Child & Adolescent Psychiatry Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.