Active NPIIndividual provider

Blaise Fortunata, PSYCHOLOGIST

Psychologist in Hyannis, Massachusetts

NPI Number1609816636
Practice location
460 W Main St, Hyannis, MA 02601-3855
Fax
508-790-3378
Last updated
December 30, 2021

Blaise Fortunata is a Psychologist based in Hyannis, MA. Blaise Fortunata practices in Hyannis, MA and has the professional credentials of PSYCHOLOGIST. The NPI Number for Blaise Fortunata is 1609816636 and holds a License No. 8563 (MA). The current practice location address for Blaise Fortunata is 460 W Main St, Hyannis, MA 02601-3855 and can be reached out via phone at 508-790-3360 and via fax at 508-790-3378.

Provider Profile Details

NPI Number
1609816636
Provider Name
Blaise Fortunata
Credential
PSYCHOLOGIST
Provider Entity Type
Individual
Gender
Female
Address
460 W Main St, Hyannis, MA 02601-3855
Phone Number
508-790-3360
Fax Number
508-790-3378
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
June 7, 2006
Last Update Date
December 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
460 W Main St
Hyannis, MA 02601-3855
Zip
02601-3855
Phone Number
508-790-3360
Fax Number
508-790-3378
Hyannis, MA 02601Get directions →

Provider Business Mailing Address Details

Address
460 W Main St
Hyannis, MA 02601-3855
City
Hyannis
State
MA
Zip
02601-3855
Phone Number
508-790-3360
Fax Number
508-790-3378

License Information

License Number
8563
License State
MA
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Psychologists near Hyannis, MA

View all Psychologists in Hyannis →

Frequently Asked Questions

What is the NPI number of Blaise Fortunata, PSYCHOLOGIST?

The NPI number of Blaise Fortunata, PSYCHOLOGIST is 1609816636. It was assigned on June 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Blaise Fortunata, PSYCHOLOGIST?

Blaise Fortunata, PSYCHOLOGIST is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 8563.

Where does Blaise Fortunata, PSYCHOLOGIST practice?

The practice location is 460 W Main St, Hyannis, MA 02601-3855. The office can be reached at 508-790-3360 (phone) or 508-790-3378 (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 1609816636 directly on the NPPES registry website.

Browse related providers