JOHN SUMMERSBY
NPI 1124860234
Counselor - Mental Health in Somerville, MA
Active since June 10, 2024
About John Summersby NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN SUMMERSBY (NPI 1124860234) is an individual mental health provider in Somerville, Massachusetts and active in the NPI registry since June 2024.
NPPES Registry Identity
NPI1124860234
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHN SUMMERSBY
Location Address17 INNERBELT RDSomerville, MA 02143-4418
Mailing Address17 Innerbelt RdSomerville, MA 02143-4418 · (857) 286-1840
Phone(857) 286-1840
Fax(617) 629-0010
Sole ProprietorNo
Enumeration DateJune 10, 2024
NPPES CertifiedJune 10, 2024
✔ NPI 1124860234 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
17 INNERBELT RD, Somerville, MA 02143
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124860234, enumerated as an "individual" on June 10, 2024.
The provider is located at 17 INNERBELT RD SOMERVILLE, MA 02143 and the phone number is (857) 286-1840.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.