Jerry Buissereth
Counselor, Mental Health in Randolph, Massachusetts
1386181121- Practice location
- 14 Pacella Park Dr, Randolph, MA 02368-1756
- Phone
- 781-440-0400
- Fax
- —
- Last updated
- January 31, 2017
Jerry Buissereth is a Counselor, Mental Health based in Randolph, MA. Jerry Buissereth practices in Randolph, MA. The NPI Number for Jerry Buissereth is 1386181121. The current practice location address for Jerry Buissereth is 14 Pacella Park Dr, Randolph, MA 02368-1756 and can be reached out via phone at 781-440-0400.
Provider Profile Details
- NPI Number
- 1386181121
- Provider Name
- Jerry Buissereth
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 14 Pacella Park Dr, Randolph, MA 02368-1756
- Phone Number
- 781-440-0400
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 31, 2017
- Last Update Date
- January 31, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 14 Pacella Park Dr
Randolph, MA 02368-1756 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-1756
- Phone Number
- 781-440-0400
Provider Business Mailing Address Details
- Address
- 14 Pacella Park Dr
Randolph, MA 02368-1756 - City
- Randolph
- State
- MA
- Zip
- 02368-1756
- Phone Number
- 781-440-0400
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Randolph, MA
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- Alexander GasdiaCounselor, Mental Health · NPI 1003295890
- Alexander M JohnsonCounselor, Mental Health · NPI 1699321547
- Alidania CalderonCounselor, Mental Health · NPI 1992157135
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Frequently Asked Questions
What is the NPI number of Jerry Buissereth?
The NPI number of Jerry Buissereth is 1386181121. It was assigned on January 31, 2017 and is currently active in the NPPES registry.
What is the specialty of Jerry Buissereth?
Jerry Buissereth is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Jerry Buissereth practice?
The practice location is 14 Pacella Park Dr, Randolph, MA 02368-1756. The office can be reached at 781-440-0400 (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 1386181121 directly on the NPPES registry website.