Active NPIIndividual provider

Dr. Mika Nitta, PSYD

Psychologist, Clinical in Worcester, Massachusetts

NPI Number1629123062
Practice location
72 Jaques Avenue, Worcester, MA 01610-2480
Fax
—
Last updated
October 5, 2015

Mika Nitta is a Psychologist, Clinical based in Worcester, MA. Mika Nitta practices in Worcester, MA and has the professional credentials of PSYD. The NPI Number for Mika Nitta is 1629123062 and holds a License No. 10150 (MA). The current practice location address for Mika Nitta is 72 Jaques Avenue, Worcester, MA 01610-2480 and can be reached out via phone at 508-373-7964.

Provider Profile Details

NPI Number
1629123062
Provider Name
Mika Nitta
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
72 Jaques Avenue, Worcester, MA 01610-2480
Phone Number
508-373-7964
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
January 24, 2007
Last Update Date
October 5, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
72 Jaques Avenue
Worcester, MA 01610-2480
Zip
01610-2480
Phone Number
508-373-7964
Worcester, MA 01610Get directions →

Provider Business Mailing Address Details

Address
10 Langley RD
Newton Center, MA 02459-1972
City
Newton Center
State
MA
Zip
02459-1972

License Information

License Number
10150
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · 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 Dr. Mika Nitta, PSYD?

The NPI number of Dr. Mika Nitta, PSYD is 1629123062. It was assigned on January 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mika Nitta, PSYD?

Dr. Mika Nitta, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 10150.

Where does Dr. Mika Nitta, PSYD practice?

The practice location is 72 Jaques Avenue, Worcester, MA 01610-2480. The office can be reached at 508-373-7964 (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 1629123062 directly on the NPPES registry website.

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