Michenide Augustin
Early Intervention Provider Agency in Brockton, Massachusetts
1174960520- Practice location
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone
- 508-580-4691
- Fax
- —
- Last updated
- May 24, 2013
Michenide Augustin is an Early Intervention Provider Agency based in Brockton, MA. Michenide Augustin practices in Brockton, MA. The NPI Number for Michenide Augustin is 1174960520. The current practice location address for Michenide Augustin is 1115 W Chestnut St, Brockton, MA 02301-7501 and can be reached out via phone at 508-580-4691.
Provider Profile Details
- NPI Number
- 1174960520
- Provider Name
- Michenide Augustin
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone Number
- 508-580-4691
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 24, 2013
- Last Update Date
- May 24, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1115 W Chestnut St
Brockton, MA 02301-7501 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-7501
- Phone Number
- 508-580-4691
Provider Business Mailing Address Details
- Address
- 215 Court St Apt 1
Brockton, MA 02302-4600 - City
- Brockton
- State
- MA
- Zip
- 02302-4600
- Phone Number
- 617-682-5550
License Information
- Taxonomy
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Michenide Augustin?
The NPI number of Michenide Augustin is 1174960520. It was assigned on May 24, 2013 and is currently active in the NPPES registry.
What is the specialty of Michenide Augustin?
Michenide Augustin is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X).
Where does Michenide Augustin practice?
The practice location is 1115 W Chestnut St, Brockton, MA 02301-7501. The office can be reached at 508-580-4691 (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 1174960520 directly on the NPPES registry website.