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PAUL DEVER FITZGERALD
NPI 1811316904
Counselor - Mental Health in Canton, MA

Active since April 16, 2014PECOS Enrolled
900 WASHINGTON ST, CANTON, MA 02021(817) 820-5050 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paul Dever Fitzgerald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL DEVER FITZGERALD (NPI 1811316904) is an individual mental health provider in Canton, Massachusetts, licensed in Massachusetts (10000016) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811316904
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePAUL DEVER FITZGERALD
Location Address900 WASHINGTON STCanton, MA 02021-2574
Mailing Address900 Washington StCanton, MA 02021-2574 · (781) 821-5050
Phone(817) 820-5050
Sole ProprietorYes
Enumeration DateApril 16, 2014
Last NPPES UpdateMarch 20, 2025
NPPES CertifiedMarch 20, 2025
✔ NPI 1811316904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · 10000016
900 WASHINGTON ST, Canton, MA 02021
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Dever Fitzgerald is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Paul Fitzgerald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Health Services, LLC
18 mi
Mental Health (Including Community Mental Health Center)
30 TAUNTON GREEN, SUITE 5
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 689 clinicians in this Medicare group
NPI 1225067481 (508) 880-6666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KRISTEN MARIE SASONOFF ATC, LAT, RAA
Specialist/Technologist (Athletic Trainer)
900 WASHINGTON ST
CANTON, MA 02021
Norfolk County (781) 821-5050
HEATHER MARIE KEDDY LICSW
Social Worker
900 WASHINGTON ST
CANTON, MA 02021
Norfolk County (781) 821-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Fitzgerald's NPI number?

The NPI number for Paul Fitzgerald is 1811316904. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Paul Fitzgerald located?

Paul Fitzgerald practices at 900 Washington St, Canton, MA 02021. The listed phone number is (817) 820-5050.

What is Paul Fitzgerald's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Paul Fitzgerald enrolled in Medicare?

Yes. Paul Fitzgerald is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Fitzgerald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Fitzgerald reassigns Medicare benefits to Northeast Health Services, LLC (Taunton, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Fitzgerald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul Fitzgerald was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.