Carmine Anthony Dichiara, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

MA 9364 PSY Issued in MA

Practice address

221 Saint Mary St Unit 2
Needham, MA 02494-3165

Phone

(617) 765-2080

Fax

(888) 622-7933

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 2, 2020 through Feb 2, 2028

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Enact Health LLC

  • Adult Mental Health Clinic/Center
  • Needham, MA
  • NPI 1306446034

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1144387531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SAINT MARY ST UNIT 2",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943165",
            "telephone_number": "857-523-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SAINT MARY ST UNIT 2",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024943165",
            "telephone_number": "617-765-2080",
            "fax_number": "888-622-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICHIARA",
        "first_name": "CARMINE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "MA 9364 PSY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Tara Devine, CNMT
• Zoe Elizabeth Devine
• Perminder Dhillon, M.D.
• Francysmar Dias, RN, BSN
• Michelle Dibiasie, CPD, CLD, NCE
• Izabelle Dick, LCSW
• Linda Marie Diianni, LICSW
• Katy McGarty Dirks, LMHC
• Giovana Carvalho DO Carmo
• Docthor P.C. (ADHD Boston)

• Clinical Psychologist in Needham, MA
• Providers in Needham, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.