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CLINICAL ASSESSMENT AND CONSULTATION NPI 1508165408


NPI Information

NPI: 1508165408
Provider Name: CLINICAL ASSESSMENT AND CONSULTATION
Classification: Psychologist - 103TA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
400 NATHAN ELLIS HWY
MASHPEE, MA
ZIP 02878
Phone: (401) 624-7281
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CLINICAL ASSESSMENT AND CONSULTATION is an addiction (substance use disorder) psychologist in Mashpee, MA. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. CLINICAL ASSESSMENT AND CONSULTATION NPI is 1508165408. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 NATHAN ELLIS HWY
MASHPEE, MA
ZIP 02878-272
Phone: (401) 624-7281
Fax: (401) 624-7208

The provider's authorized official is Robert M Duwors .
The authorized official title is Ph.d. and has the following contact phone number (401) 624-7281.

The enumeration date for this NPI number is 3/18/2011 and was last updated on 3/18/2011.


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
1103TA0400XPsychologistAddiction (Substance Use Disorder)PS00671RHODE ISLANDYes

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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