Individual provider Active NPI

Matthew Dacey, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Taunton, MA
National Provider Identifier
1285417758
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2352673 Issued in MA
Practice address
54 Court St
Taunton, MA 02780-3201
Phone
(617) 842-5683
Fax
(877) 708-9792
NPI assigned
Aug 17, 2023
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2352673 MA Primary

Addresses

Primary practice location

54 Court St
Taunton, MA 02780-3201

Mailing address

5805 Avondale Rise Way
Las Vegas, NV 89141-9069

Other practice location 1

5805 Avondale Rise Way
Las Vegas, NV 89141-9069
Phone (702) 720-6795

Other practice location 2

300 Congress St Ste 405
Quincy, MA 02169-0911
Phone (000) 000-0000

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
I20240311000991 MA Practitioner - Nurse Practitioner 8123464302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew You Health and Wellness PCGroup PAC ID 7517310857, 7 clinicians

Practice addresses (Care Compare)

54 Court St
Taunton, MA 02780-3201
Phone (617) 842-5683

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renew You Health and Wellness PC Psychiatric/Mental Health CurrentSince Nov 30, 2023 Accepting new patients
The Commonwealth of Massachusetts PastSince Oct 1, 2023 Accepting new patients

Locations

300 Congress St
Ste 405
Quincy, MA 02169
Phone (781) 848-4277

54 Court St
Taunton, MA 02780
Phone (508) 821-2500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1285417758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 AVONDALE RISE WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891419069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 COURT ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803201",
            "telephone_number": "617-842-5683",
            "fax_number": "877-708-9792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5805 Avondale Rise Way",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891419069",
            "country_code": "US",
            "telephone_number": "702-720-6795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Congress St Ste 405",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "MA",
            "postal_code": "021690911",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACEY",
        "first_name": "MATTHEW",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-17",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2352673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.