Individual provider Active NPI

Deirdre Lynn Callahan

  • Psychiatric/Mental Health Registered Nurse
  • Attleboro, MA
National Provider Identifier
1851935894
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN2301072 Issued in MA
Practice address
24 Park St
Attleboro, MA 02703-2338
Phone
(774) 319-9257
NPI assigned
Nov 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2301072 MA Primary

Addresses

Primary practice location

24 Park St
Attleboro, MA 02703-2338

Mailing address

24 Park St
Attleboro, MA 02703-2338
Phone (774) 319-9257

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200331000102 MA Practitioner - Nurse Practitioner 3971932799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

24 Park St
Attleboro, MA 02703-2338
Phone (508) 222-0089

Merit-based Incentive Payment System (MIPS)

Final score
90.53 of 100Reported as group
Quality
65.2
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2301072MAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New England Center for Psychiatric and Addiction Disorders, LLC CurrentSince Feb 14, 2020 Accepting new patients
New England Center for Psychiatric and Addiction Disorders PastSince Feb 14, 2020 Accepting new patients

Locations

24 Park St
Attleboro, MA 02703
Phone (508) 222-0089

Organizations & group practices 2

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": "1572652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1851935894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PARK ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032338",
            "telephone_number": "774-319-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PARK ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032338",
            "telephone_number": "774-319-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "DEIRDRE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-02",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2301072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

Verify at the official NPI Registry.