Stacey Charron, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

12333 Issued in NH

Practice address

3 12TH St
Berlin, NH 03570-3860

Phone

(603) 752-7404

Fax

(603) 752-5194

NPI assigned

Feb 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey Lyn Charron Gillespie Other name

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Littleton Hospital Association

  dba Littleton Regional Healthcare

  • Critical Access Hospital
  • Littleton, NH
  • NPI 1144223702
  Medicare reassignment NPD
• Littleton Hospital Association

  dba LRH DME

  • Durable Medical Equipment & Medical Supplies
  • Littleton, NH
  • NPI 1174398846
  NPD
• Northern Human Services

  • Community/Behavioral Health Agency
  • Littleton, NH
  • NPI 1023463965
  NPD (past)
• Northern Human Services

  • Mental Health Counselor
  • Conway, NH
  • NPI 1700063617
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861527798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 COLBY ST",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763047",
            "telephone_number": "603-237-4955",
            "fax_number": "603-237-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 12TH ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035703860",
            "telephone_number": "603-752-7404",
            "fax_number": "603-752-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARRON",
        "first_name": "STACEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "12333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "GILLESPIE",
            "middle_name": "LYN CHARRON",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Caracciolo, MD
• Javier De Jesus Cardenas, M.D.
• Crizeldo De Guzman Cariaso, M.D.
• Elaine Margaret Chappell, M.D.
• Jeanne D Charest, APRN
• Debra Chen
• Janet Chevarie, ARNP
• Allina Lynn Chilafoe
• Donna Church, MS, CCC-SLP
• City of Berlin (City of Berlin Health Dept & nursing)

• Psychiatry Physician in Berlin, NH
• Providers in Berlin, NH by specialty
• Psychiatry Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.