Active NPIIndividual provider

Rebecca Demello Egan, MA, MED, LMHC

Counselor, Mental Health in Hyde Park, Massachusetts

NPI Number1134653611
Practice location
66 Lodgehill RD, Hyde Park, MA 02136-1314
Fax
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Last updated
January 8, 2024

Rebecca Demello Egan is a Counselor, Mental Health based in Hyde Park, MA. Rebecca Demello Egan practices in Hyde Park, MA and has the professional credentials of MA, MED, LMHC. The NPI Number for Rebecca Demello Egan is 1134653611 and holds a License No. 12765 (MA). The current practice location address for Rebecca Demello Egan is 66 Lodgehill RD, Hyde Park, MA 02136-1314 and can be reached out via phone at 774-644-1808.

Provider Profile Details

NPI Number
1134653611
Provider Name
Rebecca Demello Egan
Credential
MA, MED, LMHC
Provider Entity Type
Individual
Gender
Female
Address
66 Lodgehill RD, Hyde Park, MA 02136-1314
Phone Number
774-644-1808
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Other Names
Rebecca Jenn Demello, MA, MED, LMHC (Former Name)
Provider Enumeration Date
April 12, 2017
Last Update Date
January 8, 2024
Certification Date
January 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 Lodgehill RD
Hyde Park, MA 02136-1314
Zip
02136-1314
Phone Number
774-644-1808
Hyde Park, MA 02136Get directions →

Provider Business Mailing Address Details

Address
66 Lodgehill RD
Hyde Park, MA 02136-1314
City
Hyde Park
State
MA
Zip
02136-1314
Phone Number
774-644-1808

License Information

License Number
12765
License State
MA
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 Rebecca Demello Egan, MA, MED, LMHC?

The NPI number of Rebecca Demello Egan, MA, MED, LMHC is 1134653611. It was assigned on April 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Rebecca Demello Egan, MA, MED, LMHC?

Rebecca Demello Egan, MA, MED, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 12765.

Where does Rebecca Demello Egan, MA, MED, LMHC practice?

The practice location is 66 Lodgehill RD, Hyde Park, MA 02136-1314. The office can be reached at 774-644-1808 (phone).

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 1134653611 directly on the NPPES registry website.

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