Provider Demographics
NPI:1437136470
Name:SAPIRSTEIN, GUY (PHD)
Entity Type:Individual
Prefix:
First Name:GUY
Middle Name:
Last Name:SAPIRSTEIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 610402
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02461-0402
Mailing Address - Country:US
Mailing Address - Phone:617-964-6543
Mailing Address - Fax:
Practice Address - Street 1:263 CONCORD AVE APT 1
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-1398
Practice Address - Country:US
Practice Address - Phone:617-964-6543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7160103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW50152Medicare ID - Type Unspecified