Individual provider Active NPI

David Emery Doiron, DMIN LIC PSY

  • Psychologist
  • Worcester, MA
National Provider Identifier
1598817322
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3321 Issued in MA
Practice address
41 Hamilton St
Worcester, MA 01604-2201
Phone
(508) 981-5627
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X
Marriage & Family Therapist 106H00000X 373 MA
Psychologist 103T00000X 3321 MA Primary

Addresses

Primary practice location

41 Hamilton St
Worcester, MA 01604-2201

Mailing address

355 Grafton St
Worcester, MA 01604-3815
Phone (508) 981-5627

Other practice location 1

4 Caroline Street
Worcester, MA 01604
Phone (508) 757-0376

Other identifiers 3

IdentifierTypeStateIssuer
W03397OtherMABLUE CROSS BLUE SHIELD
00572OtherMAVALUE OPTION
9428115OtherMAPHCS PRIVATE HEALTHCARE

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070907000059 MA Practitioner - Clinical Psychologist 8022101013 Practice locations: Worcester, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Worcester, MA 01604
Phone (508) 981-5627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3321MAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1598817322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 GRAFTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016043815",
            "telephone_number": "508-981-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 HAMILTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016042201",
            "telephone_number": "508-981-5627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Caroline Street",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "01604",
            "country_code": "US",
            "telephone_number": "508-757-0376",
            "fax_number": "508-421-9382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOIRON",
        "first_name": "DAVID",
        "middle_name": "EMERY",
        "credential": "DMIN LIC PSY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "373",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "3321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W03397",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTION",
            "identifier": "00572",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PRIVATE HEALTHCARE",
            "identifier": "9428115",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.