Active NPIIndividual providerSole proprietor

Dr. Jane G Tillman, PHD

Psychologist, Clinical in Stockbridge, Massachusetts

NPI Number1679612600
Practice location
25 Main St., The Austen Riggs Center, Stockbridge, MA 01262-0962
Fax
—
Last updated
July 8, 2007

Jane G Tillman is a Psychologist, Clinical based in Stockbridge, MA. Jane G Tillman practices in Stockbridge, MA and has the professional credentials of PHD. The NPI Number for Jane G Tillman is 1679612600 and holds a License No. 7009 (MA). The current practice location address for Jane G Tillman is 25 Main St., The Austen Riggs Center, Stockbridge, MA 01262-0962 and can be reached out via phone at 413-931-5213.

Provider Profile Details

NPI Number
1679612600
Provider Name
Jane G Tillman
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
25 Main St., The Austen Riggs Center, Stockbridge, MA 01262-0962
Phone Number
413-931-5213
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 6, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Main St.
The Austen Riggs Center
Stockbridge, MA 01262-0962
Zip
01262-0962
Phone Number
413-931-5213
Stockbridge, MA 01262Get directions →

Provider Business Mailing Address Details

Address
Po Box 962
The Austen Riggs Center
Stockbridge, MA 01262-0962
City
Stockbridge
State
MA
Zip
01262-0962
Phone Number
413-931-5213
Fax Number
413-298-4020

License Information

License Number
7009
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. Jane G Tillman, PHD?

The NPI number of Dr. Jane G Tillman, PHD is 1679612600. It was assigned on February 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jane G Tillman, PHD?

Dr. Jane G Tillman, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 7009.

Where does Dr. Jane G Tillman, PHD practice?

The practice location is 25 Main St., The Austen Riggs Center, Stockbridge, MA 01262-0962. The office can be reached at 413-931-5213 (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 1679612600 directly on the NPPES registry website.

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