Active NPI
Carrie Chiasson, PSY.D.
- Clinical Child & Adolescent Psychologist
- Nashua, NH
National Provider Identifier
1356651350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 00012
- Practice address
- 1 Main St
Nashua, NH 03064-2716 - Phone
- (603) 883-0005
- Fax
- (603) 883-0007
- NPI assigned
- Oct 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS01530 | RI | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 00012 | NH | Primary |
Addresses
Primary practice location
1 Main St
Nashua, NH 03064-2716
Mailing address
1 Main St
Nashua, NH 03064-2716
Phone (603) 689-7978
Other practice location 1
400 Massasoit Ave # 305
East Providence, RI 02914-2012
Phone (401) 294-0451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 1, 2016 through Jun 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00012 | NH | MD | Clinical Child & Adolescent Psychologist |
| PS01530 | RI | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Counseling Center of Nashua Inc | Clinical Child & Adolescent | Past | Accepting new patients |
| Ricbt, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Nashua, NH
- NPI 1144275389
Clinical Child & Adolescent
-
- Clinical Psychologist
- North Kingstown, RI
- NPI 1780776476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1356651350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MAIN ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030642716",
"telephone_number": "603-689-7978",
"fax_number": "603-883-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MAIN ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030642716",
"telephone_number": "603-883-0005",
"fax_number": "603-883-0007"
}
],
"practiceLocations": [
{
"address_1": "400 Massasoit Ave # 305",
"address_purpose": "LOCATION",
"city": "East Providence",
"state": "RI",
"postal_code": "029142012",
"country_code": "US",
"telephone_number": "401-294-0451",
"fax_number": "401-294-0461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIASSON",
"first_name": "CARRIE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-09",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "RI",
"license": "PS01530",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NH",
"license": "00012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.