Active NPIIndividual provider

Dr. Alisa Beaver, PHD

Psychologist in Springfield, Massachusetts

NPI Number1043752306
Practice location
155 Maple St, Suite 207, Springfield, MA 01105-2649
Fax
413-285-8722
Last updated
November 17, 2016

Alisa Beaver is a Psychologist based in Springfield, MA. Alisa Beaver practices in Springfield, MA and has the professional credentials of PHD. The NPI Number for Alisa Beaver is 1043752306 and holds a License No. 7794 (MA). The current practice location address for Alisa Beaver is 155 Maple St, Suite 207, Springfield, MA 01105-2649 and can be reached out via phone at 413-285-8722 and via fax at 413-285-8722.

Provider Profile Details

NPI Number
1043752306
Provider Name
Alisa Beaver
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
155 Maple St, Suite 207, Springfield, MA 01105-2649
Phone Number
413-285-8722
Fax Number
413-285-8722
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
November 17, 2016
Last Update Date
November 17, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 Maple St
Suite 207
Springfield, MA 01105-2649
Zip
01105-2649
Phone Number
413-285-8722
Fax Number
413-285-8722
Springfield, MA 01105Get directions →

Provider Business Mailing Address Details

Address
155 Maple St
Suite 207
Springfield, MA 01105-2649
City
Springfield
State
MA
Zip
01105-2649
Phone Number
413-320-1180
Fax Number
413-285-8722

License Information

License Number (1)
7794
License State (1)
MA
Taxonomy (1)
Psychologist · 103T00000X · Primary
License Number (2)
1286
License State (2)
MA
Taxonomy (2)
Marriage & Family Therapist · 106H00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Alisa Beaver, PHD?

The NPI number of Dr. Alisa Beaver, PHD is 1043752306. It was assigned on November 17, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Alisa Beaver, PHD?

Dr. Alisa Beaver, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 7794.

Where does Dr. Alisa Beaver, PHD practice?

The practice location is 155 Maple St, Suite 207, Springfield, MA 01105-2649. The office can be reached at 413-285-8722 (phone) or 413-285-8722 (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 1043752306 directly on the NPPES registry website.

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