Provider Demographics
NPI:1396569299
Name:FERN PSYCHIATRY PLLC
Entity type:Organization
Organization Name:FERN PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:CHANTAL
Authorized Official - Last Name:TUFFET
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:202-384-9125
Mailing Address - Street 1:315 UNIVERSITY AVENUE
Mailing Address - Street 2:2ND FLOOR, #1333
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090
Mailing Address - Country:US
Mailing Address - Phone:617-682-0749
Mailing Address - Fax:
Practice Address - Street 1:315 UNIVERSITY AVENUE
Practice Address - Street 2:2ND FLOOR, #1333
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090
Practice Address - Country:US
Practice Address - Phone:617-682-0749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty