MR. MICHAEL T WATKINS NPI 1407420490

NPI Information

  • NPI: 1407420490
  • Provider Name: MR. MICHAEL T WATKINS
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 22 BOWERS ST APT 610
    LOWELL, MA
    ZIP 01854
  • Phone: (978) 771-5575

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NPI Details

MR. Michael T Watkins is a peer specialist in Lowell, MA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MR. Michael T Watkins NPI is 1407420490. 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:

22 BOWERS ST APT 610
LOWELL, MA
ZIP 01854-581
Phone: (978) 771-5575

The enumeration date for this NPI number is 5/14/2021 and was last updated on 5/14/2021.

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
1175T00000XPeer Specialist201574MASSACHUSETTSYes

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
1201574OTHERMASSACHUSETTSTRANSFORMATION CENTER BOSTON
2201574MEDICAIDMASSACHUSETTS

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: 3/30/2025

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