Active NPI
Paul G Dagincourt, M.D.
- Psychiatry Physician
- Westwood, MA
National Provider Identifier
1235151820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 71866
- Practice address
- 805 High St
Westwood, MA 02090-2539 - Phone
- (781) 929-4914
- Fax
- (781) 329-2422
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 71866 | MA | Primary |
Addresses
Primary practice location
805 High St
Westwood, MA 02090-2539
Mailing address
805 High St
Westwood, MA 02090-2539
Phone (781) 929-4914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3108481 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71866 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1235151820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 HIGH ST",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902539",
"telephone_number": "781-929-4914",
"fax_number": "781-329-2422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 HIGH ST",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902539",
"telephone_number": "781-929-4914",
"fax_number": "781-329-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAGINCOURT",
"first_name": "PAUL",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "71866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3108481",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.