1972691798 NPI number — CARYN SALWEN OT

Table of content: CARYN SALWEN OT (NPI 1972691798)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972691798 NPI number — CARYN SALWEN OT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALWEN
Provider First Name:
CARYN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
OT
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:
1972691798
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/18/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
80 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:
01028-3103
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's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
80 DENSLOW RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST LONGMEADOW
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01028-3103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-526-9969
Provider Business Practice Location Address Fax Number:
413-526-9960
Provider Enumeration Date:
10/10/2006

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: 225X00000X , with the licence number:  6803 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225XH1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 6187191 . This is a "CIGNA INDIVIDUAL NO." identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 690675 . This is a "TUFTS GROUP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000035323 . This is a "BOSTON MEDICAL HEALTH NET INDIVIDUAL NO." identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000035264 . This is a "BOSTON MEDICAL HEALTH NET GROUP NO." identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 043527497 . This is a "UNICARE/GIC" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 043527497 . This is a "NORTH REGIONS/TRICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 494429 . This is a "TUFTS INDIVIDUAL NO" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 043527497 . This is a "AETNA GROUP" 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: 043527497 . This is a "PIONEER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 043527497 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0799947 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 130006803MA01 . This is a "ANTHEM BC BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7346751 . This is a "AETNA INDIVIDUAL NO." identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 9715568 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 043527 . This is a "CONNECTICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 11535147 . This is a "CAQH" 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: 130006803MA02 . This is a "ANTHEM BC BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 043527497 . This is a "CIGNA GROUP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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