JACK MAZZOTTI NPI 1942967021

NPI Information

NPI: 1942967021
Provider Name: JACK MAZZOTTI
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
255 PARK AVE STE 900
WORCESTER, MA
ZIP 01609
Phone: (508) 753-7902
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Jack Mazzotti is a mental health counselor in Worcester, MA. Jack Mazzotti NPI is 1942967021. 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:

255 PARK AVE STE 900
WORCESTER, MA
ZIP 01609-978
Phone: (508) 753-7902

The enumeration date for this NPI number is 11/23/2021 and was last updated on 11/23/2021.

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	10562	MASSACHUSETTS	Yes

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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