Peter J. Dasilva, ED.D.

Individual provider Active NPI Psychologist · Belchertown, MA

NPI 1952897100 · NPPES record last updated Jul 10, 2018

Key facts

NPI
1952897100
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
4888-PY-PR (MA)
Practice address
40 Woodhaven Drive
Belchertown, MA 01007-1288
Phone
(413) 222-7257
NPI assigned
Jul 10, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4888-PY-PRMAMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4888-PY-PR MA Yes

Addresses

Primary practice location

40 Woodhaven Drive
Belchertown, MA 01007-1288

Mailing address

PO Box 1288
Belchertown, MA 01007-1288
Phone (413) 222-7257

Other providers in Belchertown, MA

All providers in Belchertown, MA · Psychologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.