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

Table of content: MR. MORGAN J LEGENDRE R.PH. (NPI 1952616260)

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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