1194864777 NPI number — MS. MEGAN ALLEN SCHNEIDER M.A., CCC-A

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194864777 NPI number — MS. MEGAN ALLEN SCHNEIDER M.A., CCC-A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHNEIDER
Provider First Name:
MEGAN
Provider Middle Name:
ALLEN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., CCC-A
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHNEIDER
Provider Other First Name:
MEGAN
Provider Other Middle Name:
ALLEN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A., CCC-A
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1194864777
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
813 WILLIAMS ST
Provider Second Line Business Mailing Address:
SUITE 202A
Provider Business Mailing Address City Name:
LONGMEADOW
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01106-2065
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-565-4443
Provider Business Mailing Address Fax Number:
413-565-4445

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
813 WILLIAMS ST
Provider Second Line Business Practice Location Address:
SUITE 202A
Provider Business Practice Location Address City Name:
LONGMEADOW
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01106-2065
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-565-4443
Provider Business Practice Location Address Fax Number:
413-565-4445
Provider Enumeration Date:
02/06/2007

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: 231HA2500X , with the licence number:  184 , 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)

  • Identifier: 70020000AD0011 . This is a "BLUE CROSS AND BLUE SHIEL" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 694130 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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