1457505059 NPI number — MRS. JESSICA G SCHEFF MS, OTR/L

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457505059 NPI number — MRS. JESSICA G SCHEFF MS, OTR/L

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

SCHEFF

Provider First Name:

JESSICA

Provider Middle Name:

G

Provider Name Prefix Text:

MRS.

Provider Name Suffix Text:

Provider Credential Text:

MS, OTR/L

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

GRIFFIN

Provider Other First Name:

JESSICA

Provider Other Middle Name:

F

Provider Other Name Prefix Text:

MS.

Provider Other Name Suffix Text:

Provider Other Credential Text:

MS, OTR/L

Provider Other Last Name Type Code:

1

NPI Number:

1457505059

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

05/17/2012

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

168 DENSLOW RD

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

EAST LONGMEADOW

Provider Business Mailing Address State Name:

MA

Provider Business Mailing Address Postal Code:

01028-3188

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

413-526-9969

Provider Business Mailing Address Fax Number:

413-526-9960

Provider First Line Business Practice Location Address:

300 BIRNIE AVE

Provider Second Line Business Practice Location Address:

SUITE 304

Provider Business Practice Location Address City Name:

SPFLD

Provider Business Practice Location Address State Name:

MA

Provider Business Practice Location Address Postal Code:

01107

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

413-781-1054

Provider Business Practice Location Address Fax Number:

413-526-9960

Provider Enumeration Date:

11/10/2008

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 225X00000X , with the licence number:  9627 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 225X00000X , with the licence number: 003466 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 225XH1200X , with the licence number: 9627 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 225XH1200X , with the licence number: 003466 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: AA49027 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 043527497 . This is a "CT CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 972730 . This is a "NETWORK HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 043527497 . This is a "NORTH REGION CLAIMS/TRICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 103355100 . This is a "DEPT OF LABOR" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 64-04290 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 035265 . This is a "BMC" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 043527497 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 043527497 . This is a "GREATWEST" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 690675 . This is a "TUFTS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: OT0011 . This is a "BC/BS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 043527497 . This is a "GIC" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
• Identifier: 9175568 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".