Active NPIOrganization

Psychmatrix For Child & Adolescent Psychiatry, LLC

Psychiatry & Neurology, Psychiatry in Wilbraham, Massachusetts

NPI Number1124227905
Practice location
35 Post Office Park Ste 3505, Wilbraham, MA 01095-1186
Fax
413-596-4609
Last updated
July 12, 2007

Psychmatrix For Child & Adolescent Psychiatry, LLC is a healthcare organization based in Wilbraham, MA. Psychmatrix For Child & Adolescent Psychiatry, LLC practices in Wilbraham, MA. The NPI Number for Psychmatrix For Child & Adolescent Psychiatry, LLC is 1124227905 and holds a License No. 73294 (MA). The current practice location address for Psychmatrix For Child & Adolescent Psychiatry, LLC is 35 Post Office Park Ste 3505, Wilbraham, MA 01095-1186 and can be reached out via phone at 413-596-4601 and via fax at 413-596-4609.

Provider Profile Details

NPI Number
1124227905
Provider Name
Psychmatrix For Child & Adolescent Psychiatry, LLC
Provider Entity Type
Organization
Address
35 Post Office Park Ste 3505, Wilbraham, MA 01095-1186
Phone Number
413-596-4601
Fax Number
413-596-4609
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Organization Subpart
No
Authorized Official
Susan Cary, MD · Owner · 413-596-4601
Provider Enumeration Date
July 12, 2007
Last Update Date
July 12, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Post Office Park Ste 3505
Wilbraham, MA 01095-1186
Zip
01095-1186
Phone Number
413-596-4601
Fax Number
413-596-4609
Wilbraham, MA 01095Get directions →

Provider Business Mailing Address Details

Address
12 Ruth Dr
Wilbraham, MA 01095-2610
City
Wilbraham
State
MA
Zip
01095-2610
Phone Number
413-596-4601
Fax Number
413-596-4609

License Information

License Number
73294
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 Psychmatrix For Child & Adolescent Psychiatry, LLC?

The NPI number of Psychmatrix For Child & Adolescent Psychiatry, LLC is 1124227905. It was assigned on July 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Psychmatrix For Child & Adolescent Psychiatry, LLC?

Psychmatrix For Child & Adolescent Psychiatry, LLC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 73294.

Where does Psychmatrix For Child & Adolescent Psychiatry, LLC practice?

The practice location is 35 Post Office Park Ste 3505, Wilbraham, MA 01095-1186. The office can be reached at 413-596-4601 (phone) or 413-596-4609 (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 1124227905 directly on the NPPES registry website.

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