SASHAANN MEDINA NPI 1033597893

NPI Information

NPI: 1033597893
Provider Name: SASHAANN MEDINA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
500 VICTORY RD STE 2
QUINCY, MA
ZIP 02171
Phone: (617) 847-1950
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Sashaann Medina is a mental health counselor in Quincy, MA. Sashaann Medina NPI is 1033597893. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 VICTORY RD STE 2
QUINCY, MA
ZIP 02171-132
Phone: (617) 847-1950
Fax: (617) 774-1490

The enumeration date for this NPI number is 5/13/2015 and was last updated on 5/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst				No
2	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1033597893	MEDICARE UPIN	MASSACHUSETTS
2	1033597893	MEDICARE PIN	MASSACHUSETTS
3	1033597893	MEDICARE OSCAR/CERTIFICATION	MASSACHUSETTS
4	1033597893	MEDICARE NSC	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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