Active NPIIndividual provider

Mr. Michael K Chan, MA

Counselor, Mental Health in Tyngsboro, Massachusetts

NPI Number1114812526
Practice location
352 Middlesex RD, Tyngsboro, MA 01879-1076
Fax
781-328-4733
Last updated
June 9, 2025

Michael K Chan is a Counselor, Mental Health based in Tyngsboro, MA. Michael K Chan practices in Tyngsboro, MA and has the professional credentials of MA. The NPI Number for Michael K Chan is 1114812526. The current practice location address for Michael K Chan is 352 Middlesex RD, Tyngsboro, MA 01879-1076 and can be reached out via phone at 781-328-1904 and via fax at 781-328-4733.

Provider Profile Details

NPI Number
1114812526
Provider Name
Michael K Chan
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
352 Middlesex RD, Tyngsboro, MA 01879-1076
Phone Number
781-328-1904
Fax Number
781-328-4733
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
June 9, 2025
Last Update Date
June 9, 2025
Certification Date
June 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
352 Middlesex RD
Tyngsboro, MA 01879-1076
Zip
01879-1076
Phone Number
781-328-1904
Fax Number
781-328-4733
Tyngsboro, MA 01879Get directions →

Provider Business Mailing Address Details

Address
373 Highland Ave Apt 323
Somerville, MA 02144-2555
City
Somerville
State
MA
Zip
02144-2555

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Mr. Michael K Chan, MA?

The NPI number of Mr. Michael K Chan, MA is 1114812526. It was assigned on June 9, 2025 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael K Chan, MA?

Mr. Michael K Chan, MA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Mr. Michael K Chan, MA practice?

The practice location is 352 Middlesex RD, Tyngsboro, MA 01879-1076. The office can be reached at 781-328-1904 (phone) or 781-328-4733 (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 1114812526 directly on the NPPES registry website.

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