Thom Mystic Valley Early Intervention
Early Intervention Provider Agency in Wakefield, Massachusetts
1710159116- Practice location
- 11 Columbia RD, Wakefield, MA 01880
- Phone
- 978-302-0802
- Fax
- —
- Last updated
- March 26, 2008
Thom Mystic Valley Early Intervention is a healthcare organization based in Wakefield, MA. Thom Mystic Valley Early Intervention practices in Wakefield, MA. The NPI Number for Thom Mystic Valley Early Intervention is 1710159116 and holds a License No. 8130 (MA). The current practice location address for Thom Mystic Valley Early Intervention is 11 Columbia RD, Wakefield, MA 01880 and can be reached out via phone at 978-302-0802.
Provider Profile Details
- NPI Number
- 1710159116
- Provider Name
- Thom Mystic Valley Early Intervention
- Provider Entity Type
- Organization
- Address
- 11 Columbia RD, Wakefield, MA 01880
- Phone Number
- 978-302-0802
- Primary Taxonomy
- Early Intervention Provider Agency · 252Y00000X
- Organization Subpart
- No
- Authorized Official
- Ms. Patricia Ann Mccarthy, OTR/L · Occupational Therapist · 978-302-0802
- Provider Enumeration Date
- March 26, 2008
- Last Update Date
- March 26, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Columbia RD
Wakefield, MA 01880 - City
- Wakefield
- State
- Massachusetts
- Zip
- 01880
- Phone Number
- 978-302-0802
Provider Business Mailing Address Details
- Address
- 11 Columbia RD
Unit 4
Wakefield, MA 01880-3339 - City
- Wakefield
- State
- MA
- Zip
- 01880-3339
- Phone Number
- 978-302-0802
License Information
- License Number
- 8130
- License State
- MA
- Taxonomy
- Early Intervention Provider Agency · 252Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Dr. Allen Laguerre, DPTPhysical Therapist · NPI 1477273647
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- Blessing Emmanuel, BCBABehavior Analyst · NPI 1992515696
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Frequently Asked Questions
What is the NPI number of Thom Mystic Valley Early Intervention?
The NPI number of Thom Mystic Valley Early Intervention is 1710159116. It was assigned on March 26, 2008 and is currently active in the NPPES registry.
What is the specialty of Thom Mystic Valley Early Intervention?
Thom Mystic Valley Early Intervention is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X), licensed in MA under license number 8130.
Where does Thom Mystic Valley Early Intervention practice?
The practice location is 11 Columbia RD, Wakefield, MA 01880. The office can be reached at 978-302-0802 (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 1710159116 directly on the NPPES registry website.