Alfredo R Chan, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

70653 Issued in MA

Practice address

105 Webster Street
Webster Place Unit 6
Hanover, MA 02339-1227

Phone

(781) 878-8200

Fax

(781) 878-5538

NPI assigned

May 15, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spectrum Health Systems, IncGroup PAC ID 8224017082, 16 clinicians

South Shore Center for Wellness LTDGroup PAC ID 5395881601, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• South Shore Center for Wellness LTD

  dba South Shore Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwell, MA
  • NPI 1720221740
  Medicare reassignment Care Compare group NPD
• Spectrum Health Systems, Inc

  • Community/Behavioral Health Agency
  • Worcester, MA
  • NPI 1346430253
  Medicare reassignment Care Compare group NPD
• Alfredo R Chan MD PC

  • Addiction Psychiatry Physician
  • Hanover, MA
  • NPI 1548454671
  NPD (past) Authorized official
• Spectrum Health Systems Inc

  • Multi-Specialty Clinic/Center
  • Worcester, MA
  • NPI 1376827188
  NPD
• High Point Treatment Center Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Bedford, MA
  • NPI 1932691524
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1891746814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WEBSTER STREET",
            "address_2": "WEBSTER PLACE UNIT 6",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391227",
            "telephone_number": "781-878-8200",
            "fax_number": "781-878-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WEBSTER STREET",
            "address_2": "WEBSTER PLACE UNIT 6",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391227",
            "telephone_number": "781-878-8200",
            "fax_number": "781-878-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ALFREDO",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "70653",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "MA",
            "license": "70653",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MA",
            "license": "70653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3059472",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardinal Cushing Centers, Inc.
• Cardinal Cushing Centers, Inc.
• Cardinal Cushing Centers, Inc.
• Carewell Therapy Plus, LLC
• Candita A Carlini, MSW
• Charles C Hur DMD P.C.
• Melinda Chase, LICSW
• Chrisann Merrick, Licsw PC
• Shannon Ciavarra
• Carolyn Cipolla, CNP

• Geriatric Psychiatry Physician in Hanover, MA
• Providers in Hanover, MA by specialty
• Geriatric Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.

Verify at the official NPI Registry.