Active NPIOrganization

Eavan Miles-Mason, PHD LLC

Psychologist, Clinical Child & Adolescent in Concord, Massachusetts

NPI Number1518575786
Practice location
747 Main St # 228, Concord, MA 01742-3302
Fax
—
Last updated
October 4, 2022

Eavan Miles-Mason, PHD LLC is a healthcare organization based in Concord, MA. Eavan Miles-Mason, PHD LLC practices in Concord, MA. The NPI Number for Eavan Miles-Mason, PHD LLC is 1518575786. The current practice location address for Eavan Miles-Mason, PHD LLC is 747 Main St # 228, Concord, MA 01742-3302 and can be reached out via phone at 978-493-2848.

Provider Profile Details

NPI Number
1518575786
Provider Name
Eavan Miles-Mason, PHD LLC
Provider Entity Type
Organization
Address
747 Main St # 228, Concord, MA 01742-3302
Phone Number
978-493-2848
Primary Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X
Organization Subpart
No
Authorized Official
Dr. Eavan Durwin · Pediatric Neuropsychogist · 978-493-2848
Provider Enumeration Date
July 14, 2020
Last Update Date
October 4, 2022
Certification Date
October 4, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
747 Main St # 228
Concord, MA 01742-3302
Zip
01742-3302
Phone Number
978-493-2848
Concord, MA 01742Get directions →

Provider Business Mailing Address Details

Address
747 Main St # 228
Concord, MA 01742-3302
City
Concord
State
MA
Zip
01742-3302
Phone Number
978-493-2848

License Information

Taxonomy
Psychologist, Clinical Child & Adolescent · 103TC2200X · 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 Eavan Miles-Mason, PHD LLC?

The NPI number of Eavan Miles-Mason, PHD LLC is 1518575786. It was assigned on July 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Eavan Miles-Mason, PHD LLC?

Eavan Miles-Mason, PHD LLC is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X).

Where does Eavan Miles-Mason, PHD LLC practice?

The practice location is 747 Main St # 228, Concord, MA 01742-3302. The office can be reached at 978-493-2848 (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 1518575786 directly on the NPPES registry website.

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