Active NPI
Daniel Epelbaum, MD
- Psychiatry Physician
- Derry, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 18316
- Practice address
- 1 Parkland Dr
Derry, NH 03038-2746 - Phone
- (603) 421-3757
- NPI assigned
- Jun 30, 2008
- Last updated
- Apr 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 18316 | NH | Primary |
Addresses
Primary practice location
1 Parkland Dr
Derry, NH 03038-2746
Mailing address
1 Parkand Dr
Derry, NH 03038
Phone (603) 421-3757
Other practice location 1
100 Jefferson Square
Waterbury, CT 06706-1253
Phone (203) 709-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
115 Mill St
Belmont, MA 02478-1064
Phone (617) 855-3450
365 E St
Tewksbury, MA 01876-1950
365 E St
Tewksbury, MA 01876-1998
Phone (978) 851-7321
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18316 | NH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The McLean Hospital Corporation | Psychiatry | Current | Accepting new patients |
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | Accepting new patients |
Locations
115 Mill St
Belmont, MA 02478
Phone (617) 855-2000
115 Mill St
Stop 109
Belmont, MA 02478
Phone (617) 356-8039
365 East St
Tewksbury, MA 01876
Phone (617) 536-2186
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tewksbury Hospital
- Long Term Care Hospital
- Tewksbury, MA
- NPI 1871680496
-
dba McLean Professional Practice Group
- Psychiatry Physician
- Belmont, MA
- NPI 1114979580
-
dba Soldiers' Home in Holyoke
- General Acute Care Hospital
- Holyoke, MA
- NPI 1427111574
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Salem Hospital
- General Acute Care Hospital
- Salem, MA
- NPI 1730121633
-
dba Tewksbury Hospital
- Long Term Care Hospital
- Tewksbury, MA
- NPI 1871680496
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1538321773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARKAND DR",
"city": "DERRY",
"state": "NH",
"postal_code": "03038",
"telephone_number": "603-421-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARKLAND DR",
"city": "DERRY",
"state": "NH",
"postal_code": "030382746",
"telephone_number": "603-421-3757"
}
],
"practiceLocations": [
{
"address_1": "100 Jefferson Square",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067061253",
"country_code": "US",
"telephone_number": "203-709-6200",
"fax_number": "203-709-3335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EPELBAUM",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "18316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derry, NH
- Emergency Physicians of Derry PLLC
- Keith Alan Emery, OD
- Empowering Growth Counseling Services, PLLC
- Sheri Marie Eng, PT
- Entyre Care New Hampshire LLC (Entyre Care)
- Sonia Marie Escabi
- Lillian E Eterian, DC
- Everest Services LLC
- Eye Care Associates of Derry PC (Opticare Eye Center)
- Benjamin Bentley Faitelson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.
- 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.