Deirdre O Arvidson

Individual provider Active NPI Psychiatry Physician · Chatham, MA

NPI 1972149367 · NPPES record last updated Nov 21, 2019

Key facts

NPI
1972149367
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
RN225946 (MA)
Practice address
32 Harold LN
Chatham, MA 02633-1643
Phone
(774) 209-9588
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
RN225946MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnstable County Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X RN225946 MA Yes

Addresses

Primary practice location

32 Harold LN
Chatham, MA 02633-1643

Mailing address

32 Harold LN
Chatham, MA 02633-1643
Phone (774) 209-9588

Other providers in Chatham, MA

All providers in Chatham, MA · Psychiatry Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.