JOSEPHINE THERESA MADONNA MA NPI 1518477439

NPI Information

NPI: 1518477439
Provider Name: JOSEPHINE THERESA MADONNA, MA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1419 HANCOCK ST STE 202
QUINCY, MA
ZIP 02169
Phone: (617) 770-9690
Get Directions

Josephine Theresa Madonna, MA is a mental health counselor in Quincy, MA. Josephine Theresa Madonna, MA NPI is 1518477439. 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:

1419 HANCOCK ST STE 202
QUINCY, MA
ZIP 02169-250
Phone: (617) 770-9690
Fax: (617) 770-9692

The enumeration date for this NPI number is 10/5/2017 and was last updated on 10/5/2017.

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		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	110028128A	MEDICAID	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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