Glenn S. Fagen Phd Inc

LBN: Glenn S. Fagen Phd Inc
Glenn S. Fagen Phd Inc is an health care organization with primary practice located at 100 King St Suite 303, Northampton MA 01060-3243. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Glenn S. Fagen Phd Inc can be contacted via phone (413) 584-8339, or through Fagen, Glenn Scott via phone (413) 584-8339.

Contact Information

Primary practice address
100 King St Suite 303 Northampton MA 01060-3243
Phone: (413) 584-8339
Fax: (413) 584-8339
Website:
Map and Directions
Authorized official contact:
Name: Fagen, Glenn Scott PHD
Phone: (413) 584-8339

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 6793 Massachusetts

Profile Details

NPI number 1518261874
LBN Legal business name Glenn S. Fagen Phd Inc
DBA Doing business as
Authorized official Fagen, Glenn Scott PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 30th, 2010
Last updated Apr 26th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518261874 NPPES
Massachusetts MEDICAID 0524484
Massachusetts Other W05440

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