1497842421 NPI number — CHILD AND ADOLESCENT HEALTH SPECIALISTS PC

Table of content: (NPI 1497842421)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497842421 NPI number — CHILD AND ADOLESCENT HEALTH SPECIALISTS PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHILD AND ADOLESCENT HEALTH SPECIALISTS PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ROBERT F BELKNAP MD MPH PC
Provider Other Organization Name Type Code:
4
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:
1497842421
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/17/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
223 CHIEF JUSTICE CUSHING HWY
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
COHASSET
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02025
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-383-8380
Provider Business Mailing Address Fax Number:
781-930-1791

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
223 CHIEF JUSTICE CUSHING HWY
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
COHASSET
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-383-8380
Provider Business Practice Location Address Fax Number:
781-383-8382
Provider Enumeration Date:
10/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MATHEWS
Authorized Official First Name:
MAUREEN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
781-383-8380

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  080199 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2080P0006X , with the licence number: 080199 , 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: 212933 . This is a "TUFTS DR HEALEY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2893022001 . This is a "CIGNA PAL DR HEALEY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 080199 . This is a "TUFTS DR BELKNAP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1201825 . This is a "UNITED DR BELKNAP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1203463 . This is a "UNITED DR HEALEY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 204495 . This is a "HARVARD PILGRIM DR HEALEY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4049471 . This is a "AETNA NONHMO DR BELKNAP" identifier . This identifiers is of the category "OTHER".
  • Identifier: J14718 . This is a "BCBS DR BELKNAP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2085344 . This is a "AETNA US HMO DR BELKNAP" identifier . This identifiers is of the category "OTHER".
  • Identifier: B10321201 . This is a "CIGNA GROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 201845 . This is a "HVD PILGRIM DR BELKNAP" identifier . This identifiers is of the category "OTHER".
  • Identifier: J24892 . This is a "BCBS DR HEALEY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2307319002 . This is a "CIGNA PAL DR BELKNAP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3127486 . This is a "MASS HEALTH DR BELKNAP" identifier . This identifiers is of the category "OTHER".
  • Identifier: M17497 . This is a "BCBS GROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2894526 . This is a "AETNA DR HEALEY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9706551 . This is a "MASS HEALTH GROUP" identifier . This identifiers is of the category "OTHER".




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