NPIMap

Organization Active NPI

Stuart Wachter, M.D., P.C.

  • Psychiatry Physician
  • Concord, MA
National Provider Identifier
1396924627
Registry record updated Nov 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
56398 Issued in MA
Legal business name
STUART WACHTER, M.D., P.C.
Doing business as
Concord Psychiatric Associates
Practice address
131 Old Road to 9 Acre Cor
Suite 580
Concord, MA 01742-4181
Phone
(978) 371-9690
Fax
(978) 371-9691
NPI assigned
Nov 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2007

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

Authorized official

Name
Dr. Stuart Wachter, M.D.NPI 1124055363
Title
President
Phone
(978) 371-9690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 4079 MA
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 56398 MA Primary

Addresses

Primary practice location

131 Old Road to 9 Acre Cor
Suite 580
Concord, MA 01742-4181

Mailing address

131 Old Road to 9 Acre Cor
Suite 580
Concord, MA 01742-4181
Phone (978) 371-9690

Other names 1

  • Concord Psychiatric Associates Doing business as

National Provider Directory

National Provider Directory

Locations

131 Ornac
Ste 580
Concord, MA 01742
Phone (978) 371-9690

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194048000000",
    "number": "1396924627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR",
            "address_2": "SUITE 580",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424181",
            "telephone_number": "978-371-9690",
            "fax_number": "978-371-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 OLD ROAD TO 9 ACRE COR",
            "address_2": "SUITE 580",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424181",
            "telephone_number": "978-371-9690",
            "fax_number": "978-371-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART WACHTER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-03",
        "last_updated": "2007-11-03",
        "status": "A",
        "authorized_official_last_name": "WACHTER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-371-9690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4079",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "56398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Psychiatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.