Edouard Andre Joseph Carignan, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1058 Issued in NH

Practice address

501 South St
Bow, NH 03304-3416

Phone

(603) 856-8033

Fax

(603) 856-8034

NPI assigned

Oct 4, 2006

Last updated

May 28, 2015By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1326133554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SOUTH ST",
            "city": "BOW",
            "state": "NH",
            "postal_code": "033043416",
            "telephone_number": "603-856-8033",
            "fax_number": "603-856-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SOUTH ST",
            "city": "BOW",
            "state": "NH",
            "postal_code": "033043416",
            "telephone_number": "603-856-8033",
            "fax_number": "603-856-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARIGNAN",
        "first_name": "EDOUARD",
        "middle_name": "ANDRE JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "1058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072619",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Bow, NH
• Providers in Bow, NH by specialty
• Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.