Individual provider Active NPI

Peter Hantzis, ED.D.

  • Psychologist
  • Chelmsford, MA
National Provider Identifier
1912195926
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7049 Issued in MA
Practice address
170B Concord Road
Chelmsford, MA 01824-4645
Phone
(978) 250-3332
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7049 MA Primary

Addresses

Primary practice location

170B Concord Road
Chelmsford, MA 01824-4645

Mailing address

170B Concord Road
Chelmsford, MA 01824-4645
Phone (978) 250-3332

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170824003461 MA Practitioner - Clinical Psychologist 1658643671 Practice locations: Dedham, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

222 Madison St
Dedham, MA 02026-5010
Phone (978) 250-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1912195926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170B CONCORD ROAD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244645",
            "telephone_number": "978-250-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170B CONCORD ROAD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018244645",
            "telephone_number": "978-250-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANTZIS",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.