SAMANTHA DUTRA LLC NPI 1962992495

NPI Information

  • NPI: 1962992495
  • Provider Name: SAMANTHA DUTRA, LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 69 APPLETON ST
    ARLINGTON, MA
    ZIP 02476
  • Phone: (781) 218-9773

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NPI Details

SAMANTHA DUTRA, LLC is an adult mental health clinic center in Arlington, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SAMANTHA DUTRA, LLC NPI is 1962992495. The provider is registered as an organization entity type.

The provider's business location address is:

69 APPLETON ST
ARLINGTON, MA
ZIP 02476-955
Phone: (781) 218-9773

The provider's authorized official is Samantha Dutra .
The authorized official title is Owner and has the following contact phone number (781) 918-9773.

The enumeration date for this NPI number is 5/10/2018 and was last updated on 5/10/2018.

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
1261QM0850XClinic/CenterAdult Mental HealthYes
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

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

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