Individual provider Active NPI

Carrie Chiasson, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Nashua, NH
National Provider Identifier
1356651350
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
00012 Issued in NH
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

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
00012NHMDClinical Child & Adolescent Psychologist
PS01530RIMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc Clinical Child & Adolescent PastSince Jan 15, 2024 Accepting new patients
Ricbt, Inc. PastSince Apr 1, 2020 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.

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

Verify at the official NPI Registry.