MR. JAMES P BRESNAHAN LMFT LMHC LADAC1 CAD NPI 1215031802

NPI Information

NPI: 1215031802
Provider Name: MR. JAMES P BRESNAHAN, LMFT LMHC LADAC1 CAD
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
105 MERRICK ST
US
WORCESTER, MA
ZIP 01609
Phone: (508) 797-6100
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MR. James P Bresnahan, LMFT LMHC LADAC1 CAD is an addiction (substance use disorder) counselor in Worcester, MA. MR. James P Bresnahan, LMFT LMHC LADAC1 CAD NPI is 1215031802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

105 MERRICK ST
US
WORCESTER, MA
ZIP 01609
Phone: (508) 797-6100
Fax: (508) 797-0693

The enumeration date for this NPI number is 9/12/2006 and was last updated on 7/9/2007.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	4524	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	Y10400	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	1306421	MEDICAID	MASSACHUSETTS
3	1308785	OTHER	MASSACHUSETTS	MCD MH BCBS MH M18684
4	2220002001	OTHER	MASSACHUSETTS	BCBS SA

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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