DR. JOHN DACEY


Address: 11 Tricorne Rd, Lexington, MA 02421-5705
Phone: 7818611072

DR. JOHN DACEY (NPI# 1164590436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164590436
Entity Type Individual
Full Name DR. JOHN DACEY
Credential PH. D.
Practice Address 11 Tricorne Rd
Lexington
MA 02421-5705
Practice Telephone 7818611072
Mailing Telephone 7818611072
Enumeration Date 2006-12-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
1579 MA Behavioral Health & Social Service Providers

Office Location

Street Address 11 TRICORNE RD
City LEXINGTON
State MA
Zip Code 02421-5705

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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Competitor

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City LEXINGTON
Zip Code 02421

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Dataset Information

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.

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