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Deactivated NPI 1790774859 Deactivated / Inactive NPI Male Practitioner

Dr. David Selwyn Chedekel , EdD

Psychologist • Andover, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Chedekel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 20, 2005
NPI Deactivation Date October 21, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. David Chedekel, EdD was a registered Psychologist practicing in Andover, MA. Throughout an active medical career spanning 15 years, Dr. Chedekel provided care at the practice location at 3 DUNDEE PARK until profile deactivation on 2020-10-21.

Practice Location & Contact Primary Location

Practice Address

3 Dundee Park
#203 General Psychological Assoc

Andover, MA 01810

Telephone 9784753590
Fax 9784757620
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Andover, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.4 Yrs
State Avg: 32.3 Yrs
Regional Practice Density
24 Specialists

Practicing in Andover, MA (2533 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MA 320

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. John Pakstis , PhD

Psychologist - Counseling

NPI 1003351388

Doctor of Philosophy (Ph.D.)

Sonia Dettmann , LICSW

Social Worker - Clinical

NPI 1043398084

Licensed Independent Clinical Social Worker

Sandra Dorros , LICSW

Social Worker - Clinical

NPI 1164602041

Licensed Independent Clinical Social Worker

Josephine Finocchiaro , MSN, RN, APRN

Clinical Nurse Specialist - Psychiatric/Mental Health, Adult

NPI 1184797474

Master of Science in Nursing, Registered Nurse, Advanced Practice Registered Nurse

Mark Caton , LICSW

Social Worker - Clinical

NPI 1235140112

Licensed Independent Clinical Social Worker

Dr. Courtney Vareschi , PhD

Psychologist - Clinical

NPI 1336207463

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 21, 2020

Record deactivated on October 21, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3 DUNDEE PARK, #203 GENERAL PSYCHOLOGICAL ASSOC, ANDOVER, MA 01810 (Tel: 9784753590)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 021299142 (Tel: 6177240287)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DAVID CHEDEKEL, EDD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #320 in MA)

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Initial NPI Registration & Enumeration October 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790774859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2005
Last Update: July 08, 2007
Deactivation Date: October 21, 2020

Mailing Address

Po Box 9142, Mass General Physician Organization

Charlestown, MA 021299142

Phone: 6177240287

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.