DR. CALVIN FITCH LLC NPI 1194503474

NPI Information

  • NPI: 1194503474
  • Provider Name: DR. CALVIN FITCH, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 25 NEW CHARDON ST UNIT 9143
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 939-9532

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NPI Details

DR. CALVIN FITCH, LLC is a mental health (including community mental health center) clinic center in Boston, MA. DR. CALVIN FITCH, LLC NPI is 1194503474. The provider is registered as an organization entity type.

The provider's business location address is:

25 NEW CHARDON ST UNIT 9143
BOSTON, MA
ZIP 02114-598
Phone: (617) 939-9532

The provider's authorized official is Calvin Fitch .
The authorized official title is Owner/psychologist and has the following contact phone number (617) 939-9532.

The enumeration date for this NPI number is 9/18/2023 and was last updated on 9/18/2023.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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
11962937169MEDICAIDMASSACHUSETTS

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: 11/21/2025

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