Peter Charles Patch, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7970 Issued in MA

Practice address

21 Park St Ste 217
Attleboro, MA 02703-2315

Phone

(781) 929-0553

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northeast Behavioral Associates

  • Clinical Child & Adolescent Psychologist
  • North Andover, MA
  • NPI 1659382315
  NPD (past) Authorized official
• Northeast Behavioral Associates Inc.

  • Community/Behavioral Health Agency
  • North Dartmouth, MA
  • NPI 1346692936
  NPD (past) Authorized official
• Northeast Behavioral Associates

  • In Home Supportive Care Agency
  • North Dartmouth, MA
  • NPI 1003275108
  NPD (past)
• Northeast Behavioral Associates

  • Community/Behavioral Health Agency
  • Warwick, RI
  • NPI 1518085505
  NPD (past)
• Northeast Family Services of New York Inc.

  • Community/Behavioral Health Agency
  • New Rochelle, NY
  • NPI 1831721422
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629087564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PARK ST STE 217",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032315",
            "telephone_number": "781-929-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PARK ST STE 217",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032315",
            "telephone_number": "781-929-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCH",
        "first_name": "PETER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7970",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS00803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0501999",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Parente
• Vicki Parisi, LMHC
• Park Anesthesia, Inc.
• Andrew John Parrella, DPT
• Diane L Passanisi, PTA
• Brian Bhupendra Patel, M.D.
• Brijesh M Patel
• Foram Patel, PA-C
• Hena Patel, OTR/L
• Pathology Associates of Sturdy Memorial Hospital Inc

• Clinical Psychologist in Attleboro, MA
• Providers in Attleboro, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.