WYATT TUCKER PASCO
NPI 1194407528
Peer Specialist in Concord, MA

Active since August 04, 2023
76 GIFFORD LN, CONCORD, MA 01742(617) 800-6697 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wyatt Tucker Pasco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WYATT TUCKER PASCO (NPI 1194407528) is an individual peer specialist in Concord, Massachusetts and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1194407528
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameWYATT TUCKER PASCO
Location Address76 GIFFORD LNConcord, MA 01742-2235
Mailing Address76 Gifford LnConcord, MA 01742-2235 · (617) 800-6697
Sole ProprietorNo
Enumeration DateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
NPI 1194407528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
76 GIFFORD LN, Concord, MA 01742

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Doula
76 GIFFORD LN
CONCORD, MA 01742

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wyatt Pasco's NPI number?

The NPI number for Wyatt Pasco is 1194407528. It was assigned to this individual provider in the NPPES registry on August 4, 2023.

Where is Wyatt Pasco located?

Wyatt Pasco practices at 76 Gifford Ln, Concord, MA 01742. The listed phone number is (617) 800-6697.

What is Wyatt Pasco's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Wyatt Pasco was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.