Jessica Trask
Community/Behavioral Health in Brockton, Massachusetts
1760036198- Practice location
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone
- 508-521-2200
- Fax
- —
- Last updated
- July 24, 2019
Jessica Trask is a Community/Behavioral Health based in Brockton, MA. Jessica Trask practices in Brockton, MA. The NPI Number for Jessica Trask is 1760036198. The current practice location address for Jessica Trask is 1115 W Chestnut St, Brockton, MA 02301-7501 and can be reached out via phone at 508-521-2200.
Provider Profile Details
- NPI Number
- 1760036198
- Provider Name
- Jessica Trask
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1115 W Chestnut St, Brockton, MA 02301-7501
- Phone Number
- 508-521-2200
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 24, 2019
- Last Update Date
- July 24, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1115 W Chestnut St
Brockton, MA 02301-7501 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-7501
- Phone Number
- 508-521-2200
Provider Business Mailing Address Details
- Address
- 200 Fruit St
Mansfield, MA 02048-3115 - City
- Mansfield
- State
- MA
- Zip
- 02048-3115
- Phone Number
- 508-250-1447
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community/Behavioral Health providers near Brockton, MA
View all Community/Behavioral Health providers in Brockton →Frequently Asked Questions
What is the NPI number of Jessica Trask?
The NPI number of Jessica Trask is 1760036198. It was assigned on July 24, 2019 and is currently active in the NPPES registry.
What is the specialty of Jessica Trask?
Jessica Trask is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Jessica Trask practice?
The practice location is 1115 W Chestnut St, Brockton, MA 02301-7501. The office can be reached at 508-521-2200 (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 1760036198 directly on the NPPES registry website.