Provider Demographics
NPI:1093840738
Name:ATKINS, DAWN (MACP)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:
Last Name:ATKINS
Suffix:
Gender:F
Credentials:MACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 WINGATE ST
Mailing Address - Street 2:APT. 401
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-5708
Mailing Address - Country:US
Mailing Address - Phone:978-620-1250
Mailing Address - Fax:
Practice Address - Street 1:30 GENERAL ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1809
Practice Address - Country:US
Practice Address - Phone:978-620-1250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000008447OtherBMC HEALTHNET
MA106214OtherMBC MAGELLAN HMO BLUE
MA1001430OtherNEIGHBORHOOD HEALTH PLAN
MA1312294Medicaid
MA710830OtherTUFTS HEALTH PLAN
MA996119OtherNETWORK HEALTH
MA1001430OtherBEACON FALLON
MAS019355OtherCHAMPUS
MA008771OtherVALUE OPTIONS HPHC
MAHEA2223002740OtherBC BS MAS