ETHAN KEYES VANDERMARK NPI 1710389556

NPI Information

  • NPI: 1710389556
  • Provider Name: ETHAN KEYES VANDERMARK
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 113 MARKET ST
    APT. 2
    NORTHAMPTON, MA
    ZIP 01060
  • Phone: (603) 502-3714

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NPI Details

Ethan Keyes Vandermark is a counselor in Northampton, MA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Ethan Keyes Vandermark NPI is 1710389556. 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:

113 MARKET ST
APT. 2
NORTHAMPTON, MA
ZIP 01060-211
Phone: (603) 502-3714

The enumeration date for this NPI number is 9/24/2014 and was last updated on 10/17/2014.

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
1101Y00000XCounselorYes

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: 11/21/2025

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