Provider Demographics
NPI:1699841452
Name:CHAPIN, STEVEN LYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LYNN
Last Name:CHAPIN
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 1363
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-4363
Mailing Address - Country:US
Mailing Address - Phone:978-486-0009
Mailing Address - Fax:978-486-5412
Practice Address - Street 1:20 MEETINGHOUSE RD UNIT 1
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:MA
Practice Address - Zip Code:01460-1912
Practice Address - Country:US
Practice Address - Phone:978-486-0009
Practice Address - Fax:978-486-5412
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4984103TC2200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110031896AMedicaid
MA1855298Medicaid
MA1855298Medicaid