Dr. Brian M Denietolis, PSYD
Psychologist, Clinical Child & Adolescent in Worcester, Massachusetts
1396012373- Practice location
- 305 Belmont St, Umass Adolescent Continuing Care Unit, Worcester, MA 01604-1681
- Phone
- 508-368-3756
- Fax
- —
- Last updated
- November 19, 2011
Brian M. Denietolis is a Psychologist, Clinical Child & Adolescent based in Worcester, MA. Brian M. Denietolis practices in Worcester, MA and has the professional credentials of PSYD. The NPI Number for Brian M. Denietolis is 1396012373 and holds a License No. 9444 (MA). The current practice location address for Brian M. Denietolis is 305 Belmont St, Umass Adolescent Continuing Care Unit, Worcester, MA 01604-1681 and can be reached out via phone at 508-368-3756.
Provider Profile Details
- NPI Number
- 1396012373
- Provider Name
- Brian M. Denietolis
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 305 Belmont St, Umass Adolescent Continuing Care Unit, Worcester, MA 01604-1681
- Phone Number
- 508-368-3756
- Primary Taxonomy
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 19, 2011
- Last Update Date
- November 19, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 305 Belmont St
Umass Adolescent Continuing Care Unit
Worcester, MA 01604-1681 - City
- Worcester
- State
- Massachusetts
- Zip
- 01604-1681
- Phone Number
- 508-368-3756
Provider Business Mailing Address Details
- Address
- 411 Village St
Millis, MA 02054-1736 - City
- Millis
- State
- MA
- Zip
- 02054-1736
- Phone Number
- 508-843-5009
License Information
- License Number (1)
- 9444
- License State (1)
- MA
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 9444
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical Child & Adolescent providers near Worcester, MA
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Frequently Asked Questions
What is the NPI number of Dr. Brian M Denietolis, PSYD?
The NPI number of Dr. Brian M Denietolis, PSYD is 1396012373. It was assigned on November 19, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Brian M Denietolis, PSYD?
Dr. Brian M Denietolis, PSYD is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X), licensed in MA under license number 9444.
Where does Dr. Brian M Denietolis, PSYD practice?
The practice location is 305 Belmont St, Umass Adolescent Continuing Care Unit, Worcester, MA 01604-1681. The office can be reached at 508-368-3756 (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 1396012373 directly on the NPPES registry website.