1932184413 NPI number — MS. CYNTHIA G ARSENAULT M ED

Table of content: MS. CYNTHIA G ARSENAULT M ED (NPI 1932184413)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932184413 NPI number — MS. CYNTHIA G ARSENAULT M ED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARSENAULT
Provider First Name:
CYNTHIA
Provider Middle Name:
G
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M ED
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STUART
Provider Other First Name:
CYNTHIA
Provider Other Middle Name:
G
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M ED
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1932184413
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/26/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH ANDOVER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01845-2410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-828-8232
Provider Business Mailing Address Fax Number:
978-372-7563

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH ANDOVER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01845-2410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-828-8232
Provider Business Practice Location Address Fax Number:
978-372-7563
Provider Enumeration Date:
12/07/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  4428 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103T00000X , with the licence number: 137 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 36655 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 59310 . This is a "TUFTS ASSOC HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 85211 . This is a "MANAGED HEALTH NETWORK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9549A1 . This is a "ANTHEM BCBS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 91538 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10671 . This is a "BCBS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 113309 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1549A . This is a "BEHAVIORAL HEALTH NETWORK" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 1239 . This is a "EMPIRE BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 13700001 . This is a "PACIFICARE BEHAVIORAL HEA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 307470 . This is a "MHN GROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 627000 . This is a "MAGELLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 30010326 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 613851 . This is a "TRUFTS GROUP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: LMG015 . This is a "BCBS GROUP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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