Judith S Nissenbaum, PHD
Psychologist, Clinical in Chicopee, Massachusetts
1023025657- Practice location
- 1109 Granby RD, Chicopee, MA 01020-1568
- Phone
- 413-523-0900
- Fax
- 413-523-0901
- Last updated
- February 23, 2012
Judith S. Nissenbaum is a Psychologist, Clinical based in Chicopee, MA. Judith S. Nissenbaum practices in Chicopee, MA and has the professional credentials of PHD. The NPI Number for Judith S. Nissenbaum is 1023025657 and holds a License No. 3991 (MA). The current practice location address for Judith S. Nissenbaum is 1109 Granby RD, Chicopee, MA 01020-1568 and can be reached out via phone at 413-523-0900 and via fax at 413-523-0901.
Provider Profile Details
- NPI Number
- 1023025657
- Provider Name
- Judith S. Nissenbaum
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1109 Granby RD, Chicopee, MA 01020-1568
- Phone Number
- 413-523-0900
- Fax Number
- 413-523-0901
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 3, 2006
- Last Update Date
- February 23, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1109 Granby RD
Chicopee, MA 01020-1568 - City
- Chicopee
- State
- Massachusetts
- Zip
- 01020-1568
- Phone Number
- 413-523-0900
- Fax Number
- 413-523-0901
Provider Business Mailing Address Details
- Address
- 1109 Granby RD
Chicopee, MA 01020-1568 - City
- Chicopee
- State
- MA
- Zip
- 01020-1568
- Phone Number
- 413-523-0900
- Fax Number
- 413-523-0901
License Information
- License Number
- 3991
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Chicopee, MA
View all Psychologist, Clinical providers in Chicopee →- Peter D Bishop, PHDPsychologist, Clinical · NPI 1871528034
- Walgreen CoPharmacy · NPI 1811413412
- Walgreen CoPharmacy · NPI 1609881812
- Walgreen CoPharmacy · NPI 1093230377
- Kristina L SegarraBehavior Technician · NPI 1871492058
- Maya YounesStudent in an Organized Health Care Education/Training Program · NPI 1205735610
Frequently Asked Questions
What is the NPI number of Judith S Nissenbaum, PHD?
The NPI number of Judith S Nissenbaum, PHD is 1023025657. It was assigned on August 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Judith S Nissenbaum, PHD?
Judith S Nissenbaum, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 3991.
Where does Judith S Nissenbaum, PHD practice?
The practice location is 1109 Granby RD, Chicopee, MA 01020-1568. The office can be reached at 413-523-0900 (phone) or 413-523-0901 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023025657 directly on the NPPES registry website.