Provider Demographics
NPI:1982207429
Name:DOWNES, JOHN NORMAN
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:NORMAN
Last Name:DOWNES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 COUNTY RD UNIT 31
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-2649
Mailing Address - Country:US
Mailing Address - Phone:978-502-1511
Mailing Address - Fax:
Practice Address - Street 1:120 COUNTY RD UNIT 31
Practice Address - Street 2:
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-2649
Practice Address - Country:US
Practice Address - Phone:978-502-1511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No175T00000XOther Service ProvidersPeer Specialist
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health