CHARLES MASON OLBERT PHD NPI 1336529734

NPI Information

NPI: 1336529734
Provider Name: CHARLES MASON OLBERT, PHD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
25 MAIN ST
AUSTIN RIGGS CENTER
STOCKBRIDGE, MA
ZIP 01262
Phone: (413) 931-5239
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Charles Mason Olbert, PHD is a student in an organized health care education training program in Stockbridge, MA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Charles Mason Olbert, PHD NPI is 1336529734. 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:

25 MAIN ST
AUSTIN RIGGS CENTER
STOCKBRIDGE, MA
ZIP 01262
Phone: (413) 931-5239

The enumeration date for this NPI number is 6/2/2015 and was last updated on 6/15/2021.

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	103TC0700X	Psychologist	Clinical	023893	NEW YORK	No
2	103TC0700X	Psychologist	Clinical	11490	MASSACHUSETTS	No
3	390200000X	Student in an Organized Health Care Education/Training Program				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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