Mr. Jerry Ayantola, MED
Counselor, Mental Health in Worcester, Massachusetts
1871884338- Practice location
- 60 Harvard St, Worcester, MA 01609-2743
- Phone
- 508-755-6843
- Fax
- 508-799-8947
- Last updated
- May 2, 2011
Jerry Ayantola is a Counselor, Mental Health based in Worcester, MA. Jerry Ayantola practices in Worcester, MA and has the professional credentials of MED. The NPI Number for Jerry Ayantola is 1871884338. The current practice location address for Jerry Ayantola is 60 Harvard St, Worcester, MA 01609-2743 and can be reached out via phone at 508-755-6843 and via fax at 508-799-8947.
Provider Profile Details
- NPI Number
- 1871884338
- Provider Name
- Jerry Ayantola
- Credential
- MED
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 60 Harvard St, Worcester, MA 01609-2743
- Phone Number
- 508-755-6843
- Fax Number
- 508-799-8947
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 2, 2011
- Last Update Date
- May 2, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 60 Harvard St
Worcester, MA 01609-2743 - City
- Worcester
- State
- Massachusetts
- Zip
- 01609-2743
- Phone Number
- 508-755-6843
- Fax Number
- 508-799-8947
Provider Business Mailing Address Details
- Address
- 109 Endicott St
Apt 1
Worcester, MA 01610-1944 - City
- Worcester
- State
- MA
- Zip
- 01610-1944
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · 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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Frequently Asked Questions
What is the NPI number of Mr. Jerry Ayantola, MED?
The NPI number of Mr. Jerry Ayantola, MED is 1871884338. It was assigned on May 2, 2011 and is currently active in the NPPES registry.
What is the specialty of Mr. Jerry Ayantola, MED?
Mr. Jerry Ayantola, MED is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Mr. Jerry Ayantola, MED practice?
The practice location is 60 Harvard St, Worcester, MA 01609-2743. The office can be reached at 508-755-6843 (phone) or 508-799-8947 (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 1871884338 directly on the NPPES registry website.