SEAN TIMOTHY DOHERTY RN NPI 1770162760

NPI Information

  • NPI: 1770162760
  • Provider Name: SEAN TIMOTHY DOHERTY, RN
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 298 WASHINGTON ST.
    NORTHEAST BEHAVIORAL HEALTH
    GLOUCESTER, MA
    ZIP 01930
  • Phone: (978) 412-7341

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NPI Details

Sean Timothy Doherty, RN is a psychiatric/mental health registered nurse in Gloucester, MA. Sean Timothy Doherty, RN NPI is 1770162760. 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:

298 WASHINGTON ST.
NORTHEAST BEHAVIORAL HEALTH
GLOUCESTER, MA
ZIP 01930
Phone: (978) 412-7341

The enumeration date for this NPI number is 4/6/2021 and was last updated on 4/6/2021.

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
1163WP0808XRegistered NursePsychiatric/Mental HealthRN2274703MASSACHUSETTSYes

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

NPI Synchronization or Removal

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