Active NPI
Deirdre O Arvidson
- Psychiatry Physician
- Chatham, MA
National Provider Identifier
1972149367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- RN225946
- Practice address
- 32 Harold LN
Chatham, MA 02633-1643 - Phone
- (774) 209-9588
- NPI assigned
- Nov 21, 2019
- Last updated
- Nov 21, 2019
- Sex
- Female
- 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 | RN225946 | MA | Primary |
Addresses
Primary practice location
32 Harold LN
Chatham, MA 02633-1643
Mailing address
32 Harold LN
Chatham, MA 02633-1643
Phone (774) 209-9588
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnstable County | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Public Health or Welfare Agency
- Barnstable, MA
- NPI 1619308467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1972149367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 HAROLD LN",
"city": "CHATHAM",
"state": "MA",
"postal_code": "026331643",
"telephone_number": "774-209-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 HAROLD LN",
"city": "CHATHAM",
"state": "MA",
"postal_code": "026331643",
"telephone_number": "774-209-9588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARVIDSON",
"first_name": "DEIRDRE",
"middle_name": "O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-21",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "RN225946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chatham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.