1992871602 NPI number — COUNSELING & GYNECOLOGY GROUP P C

Table of content: (NPI 1992871602)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992871602 NPI number — COUNSELING & GYNECOLOGY GROUP P C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNSELING & GYNECOLOGY GROUP P C
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:
Provider Other Organization Name Type Code:
6
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:
1992871602
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
123 DWIGHT RD STE 204
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LONGMEADOW
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01106-1748
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-374-9287
Provider Business Mailing Address Fax Number:
413-707-0018

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
123 DWIGHT RD STE 204
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LONGMEADOW
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01106-1748
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-374-9287
Provider Business Practice Location Address Fax Number:
413-707-0018
Provider Enumeration Date:
11/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CHOROWSKI
Authorized Official First Name:
MAX
Authorized Official Middle Name:
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
413-567-9355

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 29397 . This is a "CHILDRENS MED SECURITY PL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 789175 . This is a "CONNECTICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7906443 . This is a "AETNA US HEALTHCARE PSYCH" identifier . This identifiers is of the category "OTHER".
  • Identifier: M14857 . This is a "BCBS GYNECOLOGY CORP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 17846 . This is a "LICENSE NUMBER" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 4210483 . This is a "AETNA US HEALTHCARE GYN" identifier . This identifiers is of the category "OTHER".
  • Identifier: N51732 . This is a "BCBS GYNECOLOGY INDIV" identifier . This identifiers is of the category "OTHER".
  • Identifier: V03951 . This is a "BCBS PSYCHIATRY INDIV" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9757139 . This is a "MEDICAID GROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 130408 . This is a "HARVARD PILGRIM" identifier . This identifiers is of the category "OTHER".
  • Identifier: M17234 . This is a "BCBS PSYCHIATRY CORP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7U210 . This is a "EMPIRE BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: O114774 . This is a "MEDICAID INDIVIDUAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: O459212 . This is a "AETNA US HEALTH CARE INDV" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0452662003 . This is a "CIGNA PAL ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2082565 . This is a "AETNA US HEALTHCARE CORP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 46072 . This is a "LICENSE NUMBER" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com