PETER G DEROSA (NPI# 1285624510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285624510 |
| Entity Type | Individual |
| Full Name | PETER G DEROSA |
| Credential | M.D. |
| Practice Address |
275 Millway Barnstable MA 02630-1102 |
| Mailing Address |
275 Millway Po Box 834 Barnstable MA 02630-1102 |
| Practice Telephone | 5083621363 |
| Practice Fax Number | 5083621363 |
| Mailing Telephone | 5083621363 |
| Mailing Fax Number | 5083621363 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
31245 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881981975 | Peter Anthony Derosa | Student in an Organized Health Care Education/Training Program | 2150 Pennsylvania Avenue, Nw, The Gw Medical Faculty Associates, Washington, Dc, DC 20037 | 2011-07-08 |
| 1881924652 | Peter W. Derosa | Counselor | 20 Maple Ave, Uncasville, CT 06382-2345 | 2009-12-30 |
| Street Address |
275 MILLWAY |
| City | BARNSTABLE |
| State | MA |
| Zip Code | 02630-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248013 | Healing Harbor Psychotherapy LLC | Counselor | 275 Millway, Barnstable, MA 02630-1102 | 2020-08-31 |
| 1962939348 | Denise Egan Stack | Counselor | 275 Millway, Barnstable, MA 02630-1102 | 2017-05-17 |
| 1831465087 | Tiara A Slaughter, Phd, PC | Psychologist | 275 Millway, Barnstable, MA 02630-1102 | 2012-03-31 |
| 1508160672 | Lotus Heart Center, PC | Counselor | 275 Millway, Barnstable, MA 02630-1102 | 2011-01-05 |
| 1437335825 | Speech-language Pathology Assoicates of Cape Cod LLC | Speech-Language Pathologist | 275 Millway, 2nd Floor, Barnstable, MA 02630 | 2008-01-15 |
| 1417167412 | Stacie Lenore Hitchcock | Psychiatry & Neurology | 275 Millway, Barnstable, MA 02630-1102 | 2007-05-22 |
| 1851519441 | William Xavier Kelly | Counselor | 275 Millway, Barnstable, MA 02630-1102 | 2007-04-22 |
| 1972643971 | Kristine Joy Thoresen | Social Worker | 275 Millway, Barnstable, MA 02630-1102 | 2007-02-07 |
| 1922165398 | Kelly M Pike | Counselor | 275 Millway, Barnstable, MA 02630-1102 | 2007-01-03 |
| 1023175171 | Susan Mary Botello | Social Worker | 275 Millway, Barnstable, MA 02630-1102 | 2007-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346452968 | Aimee Theresa Facchini | Social Worker | 3179 Main St, Unit 3, Barnstable, MA 02630 | 2007-05-04 |
| 1700932183 | Katie Anne Van Leeuwen | Counselor | 3195 Main Street, Barnstable, MA 02630 | 2007-01-26 |
| 1578551339 | Neil L Ringler | Dentist | 2260 Main Street, Barnstable, MA 02630 | 2005-10-06 |
| 1972599744 | Herbert Odell Mathewson | Pediatrics | 2971 Main St., Barnstable, MA 02630 | 2005-09-27 |
| 1699331843 | Harris Dental Barnstable, LLC | Dentist | 2260 Main Street, Barnstable, MA 02630 | 2019-05-14 |
| 1952578791 | Kathleen D Ecker | Nurse Practitioner | 206 Breeds Hill Rd, Hyannis, MA 02630 | 2008-05-12 |
| 1912441262 | Thomas Mcdonald | Pharmacist | 2 Bow Lane, Barnstable, MA 02630-0952 | 2016-12-06 |
| 1861513004 | Mark M Belkin | Radiology | 73 Harris Meadows Ln, Barnstable, MA 02630-1008 | 2007-04-03 |
| 1952443517 | W. Alan Clinger | Psychiatry & Neurology | 30 Harris Meadows Ln, Barnstable, MA 02630-1009 | 2007-02-12 |
| 1437133204 | Michael Loren Perlmutter | Radiology | 13 Matthias Ln, Barnstable, MA 02630-1010 | 2005-12-05 |
| Find all providers in zip 02630 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952443517 | W. Alan Clinger | Psychiatry & Neurology | 30 Harris Meadows Ln, Barnstable, MA 02630-1009 | 2007-02-12 |
| 1417167412 | Stacie Lenore Hitchcock | Psychiatry & Neurology | 275 Millway, Barnstable, MA 02630-1102 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046148 | Kripa Behavioral Health, P.C. | Psychiatry & Neurology | 415 Elsbree St Ste 1a, Fall River, MA 02720-7297 | 2020-09-08 |
| 1588273320 | Measured Wellness LLC | Psychiatry & Neurology | 47 Seaverns Ave # 5, Boston, MA 02130-2876 | 2020-07-28 |
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1689291304 | Zion Health & Wellness LLC | Psychiatry & Neurology | 209 W Central St Ste 216, Natick, MA 01760-3716 | 2020-06-29 |
| 1447875984 | Charles Clifford Engel Jr. | Psychiatry & Neurology | Home Base Program, Massachusetts General Hospital, 1 Constitution Road, Charlestown, MA 02129 | 2020-06-10 |
| 1447874284 | Suburban Psychiatric Specialists | Psychiatry & Neurology | 7 Condor Rd, Sharon, MA 02067-2905 | 2020-06-07 |
| 1669096996 | East Boston Behavioral Health and Medicine LLC | Psychiatry & Neurology | 464 Bremen St Ste 4, East Boston, MA 02128-1430 | 2020-06-02 |
| 1144853250 | Jamii Wellness and Behavioral Medicine, LLC | Psychiatry & Neurology | 360 W Boylston St Rm 207, West Boylston, MA 01583-2384 | 2020-02-17 |
| 1568092476 | Premier Medical LLC | Psychiatry & Neurology | 400 Foxborough Blvd Apt 4208, Foxborough, MA 02035-3807 | 2020-01-20 |
| 1972149367 | Deirdre O Arvidson | Psychiatry & Neurology | 32 Harold Ln, Chatham, MA 02633-1643 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | BARNSTABLE |
| Zip Code | 02630 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.