Active NPIIndividual providerSole proprietor

Dr. Russell A Surveyer, PHD

Counselor, Mental Health in Worcester, Massachusetts

NPI Number1699887901
Practice location
52 Cedar St, Worcester, MA 01609-2134
Fax
508-870-9991
Last updated
September 1, 2010

Russell Arthur Surveyer is a Counselor, Mental Health based in Worcester, MA. Russell Arthur Surveyer practices in Worcester, MA and has the professional credentials of PHD. The NPI Number for Russell Arthur Surveyer is 1699887901 and holds a License No. MALMHC 2066 (MA). The current practice location address for Russell Arthur Surveyer is 52 Cedar St, Worcester, MA 01609-2134 and can be reached out via phone at 508-868-5609 and via fax at 508-870-9991.

Provider Profile Details

NPI Number
1699887901
Provider Name
Russell Arthur Surveyer
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
52 Cedar St, Worcester, MA 01609-2134
Phone Number
508-868-5609
Fax Number
508-870-9991
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 31, 2006
Last Update Date
September 1, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
52 Cedar St
Worcester, MA 01609-2134
Zip
01609-2134
Phone Number
508-868-5609
Fax Number
508-870-9991
Worcester, MA 01609Get directions →

Provider Business Mailing Address Details

Address
1620 Wachusett St
Jefferson, MA 01522-1302
City
Jefferson
State
MA
Zip
01522-1302
Phone Number
508-868-5609
Fax Number
508-870-9991

License Information

License Number (1)
MALMHC 2066
License State (1)
MA
Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
License Number (2)
MALMHC 2066
License State (2)
MA
Taxonomy (2)
Counselor, Pastoral · 101YP1600X
License Number (3)
MHC00455
License State (3)
RI
Taxonomy (3)
Counselor, Mental Health · 101YM0800X

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. Russell A Surveyer, PHD?

The NPI number of Dr. Russell A Surveyer, PHD is 1699887901. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Russell A Surveyer, PHD?

Dr. Russell A Surveyer, PHD is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number MALMHC 2066.

Where does Dr. Russell A Surveyer, PHD practice?

The practice location is 52 Cedar St, Worcester, MA 01609-2134. The office can be reached at 508-868-5609 (phone) or 508-870-9991 (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 1699887901 directly on the NPPES registry website.

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