Provider Demographics
NPI:1790795052
Name:CUTCHINS PROGRAMS FOR CHILDREN AND FAMILIES, INC.
Entity Type:Organization
Organization Name:CUTCHINS PROGRAMS FOR CHILDREN AND FAMILIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:POLLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:413-584-1310
Mailing Address - Street 1:78 POMEROY TER
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3378
Mailing Address - Country:US
Mailing Address - Phone:413-584-1310
Mailing Address - Fax:413-586-1490
Practice Address - Street 1:78 POMEROY TER
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3378
Practice Address - Country:US
Practice Address - Phone:413-584-1310
Practice Address - Fax:413-586-1490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4159261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
M18775OtherBLUE CROSS
MA1304186Medicaid
MA8457OtherBOSTON MED CTR HEALTHNET
M18775OtherBLUE CROSS
MA1304186Medicaid