Active NPIIndividual providerSole proprietor

Dr. Frederick S Kadushin, PHD

Clinical Neuropsychologist in Longmeadow, Massachusetts

NPI Number1104037670
Practice location
136 Dwight RD, Longmeadow, MA 01106-1759
Fax
413-451-0020
Last updated
July 8, 2007

Frederick Scott Kadushin is a Clinical Neuropsychologist based in Longmeadow, MA. Frederick Scott Kadushin practices in Longmeadow, MA and has the professional credentials of PHD. The NPI Number for Frederick Scott Kadushin is 1104037670 and holds a License No. 5067 (MA). The current practice location address for Frederick Scott Kadushin is 136 Dwight RD, Longmeadow, MA 01106-1759 and can be reached out via phone at 413-567-2008 and via fax at 413-451-0020.

Provider Profile Details

NPI Number
1104037670
Provider Name
Frederick Scott Kadushin
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
136 Dwight RD, Longmeadow, MA 01106-1759
Phone Number
413-567-2008
Fax Number
413-451-0020
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 25, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
136 Dwight RD
Longmeadow, MA 01106-1759
Zip
01106-1759
Phone Number
413-567-2008
Fax Number
413-451-0020
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
84 Ellington St
Longmeadow, MA 01106-1430
City
Longmeadow
State
MA
Zip
01106-1430
Phone Number
413-567-2008
Fax Number
413-451-0020

License Information

License Number
5067
License State
MA
Taxonomy
Clinical Neuropsychologist · 103G00000X · 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 Dr. Frederick S Kadushin, PHD?

The NPI number of Dr. Frederick S Kadushin, PHD is 1104037670. It was assigned on May 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Frederick S Kadushin, PHD?

Dr. Frederick S Kadushin, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in MA under license number 5067.

Where does Dr. Frederick S Kadushin, PHD practice?

The practice location is 136 Dwight RD, Longmeadow, MA 01106-1759. The office can be reached at 413-567-2008 (phone) or 413-451-0020 (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 1104037670 directly on the NPPES registry website.

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