1659352672 NPI number — DR. JOSEPH GARY DOLINSKY PH.D.

Table of content: DR. JOSEPH GARY DOLINSKY PH.D. (NPI 1659352672)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659352672 NPI number — DR. JOSEPH GARY DOLINSKY PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOLINSKY
Provider First Name:
JOSEPH
Provider Middle Name:
GARY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659352672
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/10/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
161 S MAIN ST
Provider Second Line Business Mailing Address:
SUITE 309
Provider Business Mailing Address City Name:
MIDDLETON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01949-2485
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-750-1990
Provider Business Mailing Address Fax Number:
978-739-4042

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
161 S MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 309
Provider Business Practice Location Address City Name:
MIDDLETON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01949-2485
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-750-1990
Provider Business Practice Location Address Fax Number:
978-739-4042
Provider Enumeration Date:
11/08/2005

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: 103TB0200X , with the licence number:  4071PR , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103TC0700X , with the licence number: 4071PR , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC2200X , with the licence number: 4071PR , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TH0100X , with the licence number: 4071PR , 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: 1019320 . This is a "BEACON HEALTH STRATEGIES" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 41909 . This is a "UNITED BEHAVIORALHEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: WO4354 . This is a "BLUE CROSS OF MASS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0521612 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 184163 . This is a "PHCS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: A007792 . This is a "VALUEOPTIONS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 700-11701 . This is a "BLUE CROSS ALABAMA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: V3674 . This is a "EMPIRE BLUE CROSS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1019320 . This is a "FALLON COMMUNITY" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 329245 . This is a "HARVARD PILGRIM HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 5649584 . This is a "AETNA/US HEALTHCARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 803200V9972100 . This is a "VERIZON BLUE CROSS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 170823 . This is a "MAGELLAN/HMO BLUE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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