MR. PATRICK C DOYLE L.I.C.S.W. NPI 1326108390

NPI Information

NPI: 1326108390
Provider Name: MR. PATRICK C DOYLE, L.I.C.S.W.
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
76 SUMMER ST
SUITE 145
FITCHBURG, MA
ZIP 01420
Phone: (978) 342-3917
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MR. Patrick C Doyle, L.I.C.S.W. is an addiction (substance use disorder) counselor in Fitchburg, MA. MR. Patrick C Doyle, L.I.C.S.W. NPI is 1326108390. 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:

76 SUMMER ST
SUITE 145
FITCHBURG, MA
ZIP 01420-783
Phone: (978) 342-3917
Fax: (378) 342-9944

The NPI 1326108390 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 12/11/2006 and was last updated on 7/8/2007.

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)	1016724	MASSACHUSETTS	Yes
2	101YM0800X	Counselor	Mental Health	1016724	MASSACHUSETTS	X
3	101YP2500X	Counselor	Professional	1016724	MASSACHUSETTS	X
4	1041C0700X	Social Worker	Clinical	1016724	MASSACHUSETTS	X
5	106H00000X	Marriage & Family Therapist		1016724	MASSACHUSETTS	X

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	P21282	MEDICARE ID-TYPE UNSPECIFIED	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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