Individual provider Active NPI

Nicholas K Psichopaidas, DC

  • Chiropractor
  • New Bedford, MA
National Provider Identifier
1407960370
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2671 Issued in MA
Practice address
225 Rockland St
New Bedford, MA 02740
Phone
(508) 999-4040
Fax
(508) 993-9387
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2671 MA Primary

Addresses

Primary practice location

225 Rockland St
New Bedford, MA 02740

Mailing address

225 Rockland St
New Bedford, MA 02740
Phone (508) 999-4040

Other identifiers 1

IdentifierTypeStateIssuer
1601610MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909000129 MA Practitioner - Chiropractic 2769458975 Practice locations: Dartmouth, MA; Fall River, MA; New Bedford, MA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

49 State Rd
Dartmouth, MA 02747-3322
Phone (508) 999-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2671MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Spine & Sports Inc Chiropractor Current Accepting new patients
National Physical Therapy, Inc. PastSince Apr 7, 2007 Accepting new patients
Coastal Rehabilitation Inc PastSince Jan 22, 2008 Accepting new patients
Medx Neurodiagnostics PastSince Oct 1, 2008 Accepting new patients
Medx International Inc. PastSince Oct 15, 2010 Accepting new patients

Organizations & group practices 5

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407960370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ROCKLAND ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "508-999-4040",
            "fax_number": "508-993-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ROCKLAND ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "508-999-4040",
            "fax_number": "508-993-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSICHOPAIDAS",
        "first_name": "NICHOLAS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1601610",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.