MR. JAMES F MATTIMORE LICSW NPI 1891728812

NPI Information

NPI: 1891728812
Provider Name: MR. JAMES F MATTIMORE, LICSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
16 WHITTEMORE RD
FRAMINGHAM, MA
ZIP 01701
Phone: (508) 877-9306
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MR. James F Mattimore, LICSW is a mental health counselor in Framingham, MA. MR. James F Mattimore, LICSW NPI is 1891728812. 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:

16 WHITTEMORE RD
FRAMINGHAM, MA
ZIP 01701-265
Phone: (508) 877-9306
Fax: (508) 877-5421

The NPI 1891728812 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/8/2007.

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	101YM0800X	Counselor	Mental Health	1030269	MASSACHUSETTS	Yes

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	115422	OTHER	MASSACHUSETTS	UNITED BEHAVIORAL HEALTH
2	P22703	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	27373-8	OTHER	RHODE ISLAND	BLUECROSSBLUESHIELD
4	1035230	OTHER	MASSACHUSETTS	FALLON HEALTH CARE
5	356487	OTHER	MASSACHUSETTS	BCBS MAGELLAN
6	792950	OTHER	MASSACHUSETTS	TUFTS HEALTH
7	466870	OTHER	MASSACHUSETTS	TRICARE
8	P07565	OTHER	MASSACHUSETTS	BLUECROSSBLUESHIELD

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: 11/14/2023

NPI Synchronization or Removal

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