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MARY GONCALO GROUP PRACTICE NPI 1356890164


NPI Information

NPI: 1356890164
Provider Name: MARY GONCALO GROUP PRACTICE
Classification: Psychologist - 103TH0004X
Entity Type: Organization

Specialization: Health

Address:
101 SULLIVAN DR
FALL RIVER, MA
ZIP 02721
Phone: (774) 644-5629
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MARY GONCALO GROUP PRACTICE is a health psychologist in Fall River, MA. The provider is a psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

  • MARY GONCALO GROUP PRACTICE NPI is 1356890164. The provider is registered as an organization entity type and is a single specialty group.

    The provider's business location address is:

    101 SULLIVAN DR
    FALL RIVER, MA
    ZIP 02721-812
    Phone: (774) 644-5629
    Fax: (508) 678-8100

    The provider's authorized official is Mary Goncalo .
    The authorized official title is Owner and has the following contact phone number (774) 644-5629.

    The enumeration date for this NPI number is 9/22/2016 and was last updated on 9/22/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TH0004XPsychologistHealthMG043357MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NS 0658MEDICARE UPINMASSACHUSETTS

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

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