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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ETHAN TRACHTENBERG
NPI 1699679514
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since October 05, 2026
1280 MAIN ST, WORCESTER, MA 01603(508) 754-1141 Get Directions Write a Review

NPPES record added: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Ethan Trachtenberg NPPES

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

ETHAN TRACHTENBERG (NPI 1699679514) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1699679514
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN TRACHTENBERG
Location Address1280 MAIN STWorcester, MA 01603-1861
Mailing Address1280 Main StWorcester, MA 01603-1861 · (508) 754-1141
Phone(508) 754-1141
Sole ProprietorNo
Enumeration DateOctober 5, 2026
NPPES CertifiedOctober 2, 2026
✔ NPI 1699679514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1280 MAIN ST, Worcester, MA 01603
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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.

ASHLEE ERTI
Counselor (Mental Health)
1280 MAIN ST
WORCESTER, MA 01603
Worcester County (508) 754-1141
AUDREY DUCHARME
Counselor (Mental Health)
1280 MAIN ST
WORCESTER, MA 01603
Worcester County (508) 205-9469
BRIANNA DUBE MS
Counselor (Mental Health)
1280 MAIN ST
WORCESTER, MA 01603
Worcester County (508) 754-1141
JASON GEORGE DIAMOND
Counselor (Mental Health)
1280 MAIN ST
WORCESTER, MA 01603
Worcester County (508) 754-1141
NEW BEGINNINGS GROUP PRACTICE LLC
Counselor (Mental Health)
1280 MAIN ST
WORCESTER, MA 01603
Worcester County (508) 754-1141
SHARISSA DARKOAH MSW
Counselor (Mental Health)
1280 MAIN ST
WORCESTER, MA 01603
Worcester County (508) 754-1141
RYAN SCHAFFER
Social Worker (Clinical)
1280 MAIN ST
WORCESTER, MA 01603
Worcester County (508) 754-1141
PATRICK BUCCI
Counselor (Mental Health)
1280 MAIN ST
WORCESTER, MA 01603
Worcester County (508) 754-1141

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 Ethan Trachtenberg's NPI number?

The NPI number for Ethan Trachtenberg is 1699679514. It was assigned to this individual provider in the NPPES registry on October 5, 2026.

Where is Ethan Trachtenberg located?

Ethan Trachtenberg practices at 1280 Main St, Worcester, MA 01603. The listed phone number is (508) 754-1141.

What is Ethan Trachtenberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Trachtenberg was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.