Provider Demographics
NPI:1184720047
Name:HELMUS, JODY (PHD)
Entity type:Individual
Prefix:DR
First Name:JODY
Middle Name:
Last Name:HELMUS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 CRESTVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-2323
Mailing Address - Country:US
Mailing Address - Phone:413-567-0708
Mailing Address - Fax:413-567-0709
Practice Address - Street 1:1200 CONVERSE ST
Practice Address - Street 2:SUITE 202
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1760
Practice Address - Country:US
Practice Address - Phone:413-567-0708
Practice Address - Fax:413-567-0709
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7916103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAHEW51243Medicare ID - Type Unspecified