National Provider Identifier Database

MINDCARE AGENCY PC
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

MINDCARE AGENCY PC
125 LIBERTY ST
SUITE 205
SPRINGFIELD, MA01103-1114
Phone: 413-271-7136
Fax: 413-271-7137
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X
Community/Behavioral Health 251S00000X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for MINDCARE AGENCY PC

NPI Number 1730557018
Legal business name
LBN
MINDCARE AGENCY PC
Authorized official OMAR FARUK - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/03/2015
Last updated 11/18/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 223674
  • MA Other: 223674 STATE LICENSE NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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