Active NPI
David Emery Doiron, DMIN LIC PSY
- Psychologist
- Worcester, MA
National Provider Identifier
1598817322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3321
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W03397 | Other | MA | BLUE CROSS BLUE SHIELD |
| 00572 | Other | MA | VALUE OPTION |
| 9428115 | Other | MA | PHCS 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3321 | MA | MD | Chiropractor |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.