Healthcare Provider Details

I. General information

NPI: 1255244265
Provider Name (Legal Business Name): HARBOR SPINE & JOINT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 STATE RD NAUSET BLDG 102
DARTMOUTH MA
02747-3322
US

IV. Provider business mailing address

49 STATE RD NAUSET BLDG 102
DARTMOUTH MA
02747-3322
US

V. Phone/Fax

Practice location:
  • Phone: 508-999-4040
  • Fax: 508-993-9387
Mailing address:
  • Phone: 508-999-4040
  • Fax: 508-993-9387

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. NICHOLAS K PSICHOPAIDAS
Title or Position: OWNER / PROVIDER
Credential: DC
Phone: 508-999-4040