DANIEL RUTRICK MD PC NPI 1851500151

NPI Information

NPI: 1851500151
Provider Name: DANIEL RUTRICK MD PC
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
617 BROADWAY
EVERETT, MA
ZIP 02149
Phone: (617) 387-2220
Get Directions

DANIEL RUTRICK MD PC is an addiction medicine psychiatry neurology in Everett, MA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DANIEL RUTRICK MD PC NPI is 1851500151. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

617 BROADWAY
EVERETT, MA
ZIP 02149-712
Phone: (617) 387-2220
Fax: (617) 394-0538

The provider's authorized official is Eileen Mcclellan .
The authorized official title is Office Manger and has the following contact phone number (617) 387-2220.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.

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
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	36462	MASSACHUSETTS	Yes
2	103T00000X	Psychologist		2351	MASSACHUSETTS	X
3	103TC1900X	Psychologist	Counseling	8277	MASSACHUSETTS	X
4	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	142070	MASSACHUSETTS	X
5	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	164216	MASSACHUSETTS	X

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
1	036462	OTHER	MARYLAND	TUFTS GROUP NUMBER
2	500019	OTHER	MASSACHUSETTS	RUTRICK GROUP PSYCHOLOGIS
3	50064	OTHER	MASSACHUSETTS	TUFTS CERTIFIED NURSE SPE
4	M13835	OTHER	MASSACHUSETTS	BLUE SHIELD GROUP NUMBER

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

NPI Synchronization or Removal

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