Active NPIIndividual provider

Mark B Elliot, MD

Psychiatry & Neurology, Psychiatry in Stockbridge, Massachusetts

NPI Number1073597845
Practice location
48 Main St, Stockbridge, MA 01262-0962
Fax
413-728-5580
Last updated
December 17, 2024

Mark Bruckel Elliot is a Psychiatry & Neurology, Psychiatry based in Stockbridge, MA. Mark Bruckel Elliot practices in Stockbridge, MA and has the professional credentials of MD. The NPI Number for Mark Bruckel Elliot is 1073597845 and holds a License No. 218113 (MA). The current practice location address for Mark Bruckel Elliot is 48 Main St, Stockbridge, MA 01262-0962 and can be reached out via phone at 413-551-7925 and via fax at 413-728-5580.

Provider Profile Details

NPI Number
1073597845
Provider Name
Mark Bruckel Elliot
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
48 Main St, Stockbridge, MA 01262-0962
Phone Number
413-551-7925
Fax Number
413-728-5580
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
No
Provider Enumeration Date
December 5, 2005
Last Update Date
December 17, 2024
Certification Date
December 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
48 Main St
Stockbridge, MA 01262-0962
Zip
01262-0962
Phone Number
413-551-7925
Fax Number
413-728-5580
Stockbridge, MA 01262Get directions →

Provider Business Mailing Address Details

Address
Po Box 962
Stockbridge, MA 01262-0962
City
Stockbridge
State
MA
Zip
01262-0962
Phone Number
413-551-7925
Fax Number
413-728-5580

License Information

License Number
218113
License State
MA
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

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 Mark B Elliot, MD?

The NPI number of Mark B Elliot, MD is 1073597845. It was assigned on December 5, 2005 and is currently active in the NPPES registry.

What is the specialty of Mark B Elliot, MD?

Mark B Elliot, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 218113.

Where does Mark B Elliot, MD practice?

The practice location is 48 Main St, Stockbridge, MA 01262-0962. The office can be reached at 413-551-7925 (phone) or 413-728-5580 (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 1073597845 directly on the NPPES registry website.

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