1891187795 NPI number — MRS. ERIN MONEY BERRIGAN M.A.

Table of content: JOELLEN SHANGRAW RN (NPI 1407103732)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891187795 NPI number — MRS. ERIN MONEY BERRIGAN M.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BERRIGAN
Provider First Name:
ERIN
Provider Middle Name:
MONEY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A.
Provider Gender Code:
F

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:
1891187795
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/02/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11 BURNHAM RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WENHAM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01984-1908
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
948-778-6395
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 CUMMINGS CENTER, SUITE 364U
Provider Second Line Business Practice Location Address:
LAHEY HEALTH BEHAVIORAL SERVICES
Provider Business Practice Location Address City Name:
BEVERLY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-778-6395
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/02/2015

Additional Information

			
		

Authorized Official

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

Provider Taxonomy Codes

  • Taxonomy code: 101YS0200X , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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