Active NPIIndividual provider

Ms. Yudelka Kotjahasan, PSYD

Psychologist, Clinical in Springfield, Massachusetts

NPI Number1639256886
Practice location
33 School St, Springfield, MA 01105-1301
Fax
413-732-0429
Last updated
July 8, 2007

Yudelka Kotjahasan is a Psychologist, Clinical based in Springfield, MA. Yudelka Kotjahasan practices in Springfield, MA and has the professional credentials of PSYD. The NPI Number for Yudelka Kotjahasan is 1639256886 and holds a License No. none (MA). The current practice location address for Yudelka Kotjahasan is 33 School St, Springfield, MA 01105-1301 and can be reached out via phone at 413-846-4300 and via fax at 413-732-0429.

Provider Profile Details

NPI Number
1639256886
Provider Name
Yudelka Kotjahasan
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
33 School St, Springfield, MA 01105-1301
Phone Number
413-846-4300
Fax Number
413-732-0429
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
November 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 School St
Springfield, MA 01105-1301
Zip
01105-1301
Phone Number
413-846-4300
Fax Number
413-732-0429
Springfield, MA 01105Get directions →

Provider Business Mailing Address Details

Address
223 Emerson St
Springfield, MA 01118-1735
City
Springfield
State
MA
Zip
01118-1735
Phone Number
413-846-4300
Fax Number
413-732-0429

License Information

License Number
none
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 Ms. Yudelka Kotjahasan, PSYD?

The NPI number of Ms. Yudelka Kotjahasan, PSYD is 1639256886. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Yudelka Kotjahasan, PSYD?

Ms. Yudelka Kotjahasan, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number none.

Where does Ms. Yudelka Kotjahasan, PSYD practice?

The practice location is 33 School St, Springfield, MA 01105-1301. The office can be reached at 413-846-4300 (phone) or 413-732-0429 (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 1639256886 directly on the NPPES registry website.

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