ASSOCIATION OF INDEPENDENT PSYCHOLOGISTS NPI 1053589853

NPI Information

NPI: 1053589853
Provider Name: ASSOCIATION OF INDEPENDENT PSYCHOLOGISTS
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
390 MAIN ST
SUITE 1049
WORCESTER, MA
ZIP 01608
Phone: (508) 753-8100
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ASSOCIATION OF INDEPENDENT PSYCHOLOGISTS is a mental health counselor in Worcester, MA. ASSOCIATION OF INDEPENDENT PSYCHOLOGISTS NPI is 1053589853. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

390 MAIN ST
SUITE 1049
WORCESTER, MA
ZIP 01608-583
Phone: (508) 753-8100
Fax: (508) 792-4026

The provider's authorized official is Richard B. Abelli .
The authorized official title is Managing Practicioner and has the following contact phone number (508) 341-3379.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 2/14/2008.

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	103TC0700X	Psychologist	Clinical	1087	MASSACHUSETTS	No
2	103TC0700X	Psychologist	Clinical	6044	MASSACHUSETTS	No
3	103TP0016X	Psychologist	Prescribing (Medical)	34943	MASSACHUSETTS	No
4	101YM0800X	Counselor	Mental Health	5473	MASSACHUSETTS	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	Other Provider Identifier Issuer
1	W01052	MEDICARE UPIN	MASSACHUSETTS
2	W04819	MEDICARE UPIN	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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