Mr. John M Madonna Jr., EDD
Psychologist, Clinical in Worcester, Massachusetts
1467508259- Practice location
- 469 Chandler Street, Worcester, MA 01602
- Phone
- 508-757-7430
- Fax
- 508-791-5845
- Last updated
- July 8, 2007
John Michael Madonna is a Psychologist, Clinical based in Worcester, MA. John Michael Madonna practices in Worcester, MA and has the professional credentials of EDD. The NPI Number for John Michael Madonna is 1467508259 and holds a License No. 2711 (MA). The current practice location address for John Michael Madonna is 469 Chandler Street, Worcester, MA 01602 and can be reached out via phone at 508-757-7430 and via fax at 508-791-5845.
Provider Profile Details
- NPI Number
- 1467508259
- Provider Name
- John Michael Madonna
- Credential
- EDD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 469 Chandler Street, Worcester, MA 01602
- Phone Number
- 508-757-7430
- Fax Number
- 508-791-5845
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 26, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 469 Chandler Street
Worcester, MA 01602 - City
- Worcester
- State
- Massachusetts
- Zip
- 01602
- Phone Number
- 508-757-7430
- Fax Number
- 508-791-5845
Provider Business Mailing Address Details
- Address
- 469 Chandler Street
Worcester, MA 01602 - City
- Worcester
- State
- MA
- Zip
- 01602
- Phone Number
- 508-757-7430
- Fax Number
- 508-791-5845
License Information
- License Number
- 2711
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. John M Madonna Jr., EDD?
The NPI number of Mr. John M Madonna Jr., EDD is 1467508259. It was assigned on January 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. John M Madonna Jr., EDD?
Mr. John M Madonna Jr., EDD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 2711.
Where does Mr. John M Madonna Jr., EDD practice?
The practice location is 469 Chandler Street, Worcester, MA 01602. The office can be reached at 508-757-7430 (phone) or 508-791-5845 (fax).
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 1467508259 directly on the NPPES registry website.