Active NPIIndividual providerSole proprietor

Charles M Olbert, PHD

Student in an Organized Health Care Education/Training Program in Stockbridge, Massachusetts

NPI Number1336529734
Practice location
25 Main St, Austin Riggs Center, Stockbridge, MA 01262
Fax
—
Last updated
June 15, 2021

Charles Mason Olbert is a Student in an Organized Health Care Education/Training Program based in Stockbridge, MA. Charles Mason Olbert practices in Stockbridge, MA and has the professional credentials of PHD. The NPI Number for Charles Mason Olbert is 1336529734 and holds a License No. 11490 (MA). The current practice location address for Charles Mason Olbert is 25 Main St, Austin Riggs Center, Stockbridge, MA 01262 and can be reached out via phone at 413-931-5239.

Provider Profile Details

NPI Number
1336529734
Provider Name
Charles Mason Olbert
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
25 Main St, Austin Riggs Center, Stockbridge, MA 01262
Phone Number
413-931-5239
Sole Proprietor
Yes
Other Names
Rain Mason Olbert, PHD (Other Name)
Provider Enumeration Date
June 2, 2015
Last Update Date
June 15, 2021
Certification Date
June 11, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Main St
Austin Riggs Center
Stockbridge, MA 01262
Zip
01262
Phone Number
413-931-5239
Stockbridge, MA 01262Get directions →

Provider Business Mailing Address Details

Address
Po Box 1105
Stockbridge, MA 01262-1105
City
Stockbridge
State
MA
Zip
01262-1105
Phone Number
413-931-5239

License Information

License Number (1)
11490
License State (1)
MA
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
023893
License State (2)
NY
Taxonomy (2)
Psychologist, Clinical · 103TC0700X

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 Charles M Olbert, PHD?

The NPI number of Charles M Olbert, PHD is 1336529734. It was assigned on June 2, 2015 and is currently active in the NPPES registry.

What is the specialty of Charles M Olbert, PHD?

Charles M Olbert, PHD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MA under license number 11490.

Where does Charles M Olbert, PHD practice?

The practice location is 25 Main St, Austin Riggs Center, Stockbridge, MA 01262. The office can be reached at 413-931-5239 (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 1336529734 directly on the NPPES registry website.

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