Healthcare Provider Details

I. General information

NPI: 1720983943
Provider Name (Legal Business Name): HARBOR SPINE & JOINT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 STATE RD NAUSET BLDG 102
DARTMOUTH MA
02747
US

IV. Provider business mailing address

49 STATE RD NAUSET BLDG 102
DARTMOUTH MA
02747
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 StateNULL

VIII. Authorized Official

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