Active NPIIndividual providerSole proprietor

Fred I Eisen, MA

Counselor, Mental Health in Amherst, Massachusetts

NPI Number1336418037
Practice location
180 Aubinwood RD, Amherst, MA 01002-1690
Fax
—
Last updated
December 26, 2011

Fred I Eisen is a Counselor, Mental Health based in Amherst, MA. Fred I Eisen practices in Amherst, MA and has the professional credentials of MA. The NPI Number for Fred I Eisen is 1336418037 and holds a License No. 1415 (MA). The current practice location address for Fred I Eisen is 180 Aubinwood RD, Amherst, MA 01002-1690 and can be reached out via phone at 413-253-5071.

Provider Profile Details

NPI Number
1336418037
Provider Name
Fred I Eisen
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
180 Aubinwood RD, Amherst, MA 01002-1690
Phone Number
413-253-5071
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
December 26, 2011
Last Update Date
December 26, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
180 Aubinwood RD
Amherst, MA 01002-1690
Zip
01002-1690
Phone Number
413-253-5071
Amherst, MA 01002Get directions →

Provider Business Mailing Address Details

Address
180 Aubinwood RD
Amherst, MA 01002-1690
City
Amherst
State
MA
Zip
01002-1690
Phone Number
413-253-5071

License Information

License Number (1)
1415
License State (1)
MA
Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
License Number (2)
1415
License State (2)
MA
Taxonomy (2)
Counselor, Pastoral · 101YP1600X

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 Fred I Eisen, MA?

The NPI number of Fred I Eisen, MA is 1336418037. It was assigned on December 26, 2011 and is currently active in the NPPES registry.

What is the specialty of Fred I Eisen, MA?

Fred I Eisen, MA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 1415.

Where does Fred I Eisen, MA practice?

The practice location is 180 Aubinwood RD, Amherst, MA 01002-1690. The office can be reached at 413-253-5071 (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 1336418037 directly on the NPPES registry website.

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