Provider Demographics
NPI:1033368519
Name:NP CARE OF MASSACHUSETTS, LLC
Entity Type:Organization
Organization Name:NP CARE OF MASSACHUSETTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHESS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-925-9600
Mailing Address - Street 1:131 MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HATFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01038-9786
Mailing Address - Country:US
Mailing Address - Phone:413-247-5878
Mailing Address - Fax:
Practice Address - Street 1:131 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HATFIELD
Practice Address - State:MA
Practice Address - Zip Code:01038-9786
Practice Address - Country:US
Practice Address - Phone:413-247-5878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NP CARE OF MASSACHUSETTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9784870Medicaid
MA0000452Medicare PIN