Individual provider Active NPI

Louisa Elizabeth Dichard, PMHCNS, BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Acton, MA
National Provider Identifier
1275967499
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RN164761 Issued in MA
Practice address
529 Main St Ste 21-22
Acton, MA 01720-3964
Phone
(978) 393-1884
Fax
(781) 836-0676
NPI assigned
Aug 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RN164761 MA Primary

Addresses

Primary practice location

529 Main St Ste 21-22
Acton, MA 01720-3964

Mailing address

529 Main St Ste 22
Acton, MA 01720-3964
Phone (978) 393-1884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131107000974 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 5597990184 Reassigns benefits to 1 organization
Practice locations: Acton, MA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

529 Main St
Acton, MA 01720-3964
Phone (978) 239-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN164761MAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
The McLean Hospital Corporation CurrentSince Mar 13, 2020 Accepting new patients
Connections Physical Therapy Inc PastSince Oct 24, 2001 Accepting new patients
Connections Physical Therapy NH, LLC Past Accepting new patients

Locations

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

Interoperability endpoints

  • Direct secure messaging: dichard.louisa.mcl@direct.partners.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1275967499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 MAIN ST STE 22",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203964",
            "telephone_number": "978-393-1884",
            "fax_number": "781-836-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 MAIN ST STE 21-22",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203964",
            "telephone_number": "978-393-1884",
            "fax_number": "781-836-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICHARD",
        "first_name": "LOUISA",
        "middle_name": "ELIZABETH",
        "credential": "PMHCNS, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN164761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

Verify at the official NPI Registry.