Active NPI
Peter Boylston Delfausse, M.D.
- Psychiatry Physician
- Concord, NH
National Provider Identifier
1891744272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5175
- Practice address
- 99 Pleasant St
Concord, NH 03301-3852 - Phone
- (603) 271-5263
- Fax
- (603) 271-5209
- NPI assigned
- May 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5175 | NH | Primary |
Addresses
Primary practice location
99 Pleasant St
Concord, NH 03301-3852
Mailing address
224 Little Pond Rd
Concord, NH 03301-6204
Phone (603) 224-6793
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41263521 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5175 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Hampshire | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Concord, NH
- NPI 1043334626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1891744272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 LITTLE POND RD",
"city": "CONCORD",
"state": "NH",
"postal_code": "033016204",
"telephone_number": "603-224-6793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013852",
"telephone_number": "603-271-5263",
"fax_number": "603-271-5209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELFAUSSE",
"first_name": "PETER",
"middle_name": "BOYLSTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "5175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41263521",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.