DEBRA MADDOX PSYD LMHC LMFT NPI 1194847079

NPI Information

NPI: 1194847079
Provider Name: DEBRA MADDOX, PSYD LMHC LMFT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
250 COMMERCIAL ST
SUITE 330
WORCESTER, MA
ZIP 01608
Phone: (508) 752-4665
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Debra Maddox, PSYD LMHC LMFT is a mental health counselor in Worcester, MA. Debra Maddox, PSYD LMHC LMFT NPI is 1194847079. 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:

250 COMMERCIAL ST
SUITE 330
WORCESTER, MA
ZIP 01608-726
Phone: (508) 752-4665
Fax: (508) 752-0947

The NPI 1194847079 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 2/17/2017.

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	101YM0800X	Counselor	Mental Health	4987	MASSACHUSETTS	No
2	101YM0800X	Counselor	Mental Health	836	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	1030720	OTHER	MASSACHUSETTS	FALLON
2	1891782	OTHER	MASSACHUSETTS	MASS HEALTH
3	7674399	OTHER	MASSACHUSETTS	AETNA
4	1028720	OTHER	MASSACHUSETTS	NEIGHBORHOOD HEALTH PLAN
5	LM0827	OTHER	MASSACHUSETTS	BLUE CROSS OF MA
6	392209	OTHER	MASSACHUSETTS	MAGELLAN

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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