SCULLY PSYCHOTHERAPY LLC. NPI 1083400741

NPI Information

  • NPI: 1083400741
  • Provider Name: SCULLY PSYCHOTHERAPY LLC.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 176 MAPLE AVE APT 7-5
    RUTLAND, MA
    ZIP 01543
  • Phone: (508) 450-9298

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NPI Details

SCULLY PSYCHOTHERAPY LLC. is a mental health counselor in Rutland, MA. SCULLY PSYCHOTHERAPY LLC. NPI is 1083400741. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

176 MAPLE AVE APT 7-5
RUTLAND, MA
ZIP 01543-343
Phone: (508) 450-9298

The provider's authorized official is Jonathan Scully .
The authorized official title is Behavioral Health Provider and has the following contact phone number (774) 633-9443.

The enumeration date for this NPI number is 4/17/2025 and was last updated on 4/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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