Active NPIIndividual providerSole proprietor

Dr. Mark R Elin, PHD

Clinical Neuropsychologist in Longmeadow, Massachusetts

NPI Number1366460891
Practice location
1200 Converse St, Suite 102, Longmeadow, MA 01106-1760
Fax
—
Last updated
July 8, 2007

Mark Randolph Elin is a Clinical Neuropsychologist based in Longmeadow, MA. Mark Randolph Elin practices in Longmeadow, MA and has the professional credentials of PHD. The NPI Number for Mark Randolph Elin is 1366460891 and holds a License No. 4026 (MA). The current practice location address for Mark Randolph Elin is 1200 Converse St, Suite 102, Longmeadow, MA 01106-1760 and can be reached out via phone at 413-567-9244.

Provider Profile Details

NPI Number
1366460891
Provider Name
Mark Randolph Elin
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1200 Converse St, Suite 102, Longmeadow, MA 01106-1760
Phone Number
413-567-9244
Primary Taxonomy
Clinical Neuropsychologist · 103G00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 17, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Converse St
Suite 102
Longmeadow, MA 01106-1760
Zip
01106-1760
Phone Number
413-567-9244
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
1200 Converse St
Suite 102
Longmeadow, MA 01106-1760
City
Longmeadow
State
MA
Zip
01106-1760
Phone Number
413-567-9244

License Information

License Number
4026
License State
MA
Taxonomy
Clinical Neuropsychologist · 103G00000X · 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 Dr. Mark R Elin, PHD?

The NPI number of Dr. Mark R Elin, PHD is 1366460891. It was assigned on July 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark R Elin, PHD?

Dr. Mark R Elin, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in MA under license number 4026.

Where does Dr. Mark R Elin, PHD practice?

The practice location is 1200 Converse St, Suite 102, Longmeadow, MA 01106-1760. The office can be reached at 413-567-9244 (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 1366460891 directly on the NPPES registry website.

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