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DR. FREDERICK W. PENZA ED.D.
NPI 1720143381
Psychologist - Health Service in Andover, MA

Active since December 26, 2006
6 ENFIELD DR, ANDOVER, MA 01810(978) 475-6169 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Frederick W. Penza Ed.d. NPPES

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

DR. FREDERICK W. PENZA ED.D. (NPI 1720143381) is an individual health service provider in Andover, Massachusetts, licensed in Massachusetts (871) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1720143381
Entity TypeIndividualMale
Primary Taxonomy103TH0100X
Provider Legal NameDR. FREDERICK W. PENZACredential: ED.D.
Location Address6 ENFIELD DRAndover, MA 01810-6021
Mailing Address6 Enfield DrAndover, MA 01810-6021 · (978) 475-6169
Phone(978) 475-6169
Sole ProprietorYes
Enumeration DateDecember 26, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1720143381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in MA · 871
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
6 ENFIELD DR, Andover, MA 01810
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Other Identifiers 3

Medicaid0505366MA
Medicare ID-Type UnspecifiedWO1265MA · Medicare Provider Number
OtherWO1265MA · Bcbs Provider Number

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 Frederick Penza's NPI number?

The NPI number for Frederick Penza is 1720143381. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Frederick Penza located?

Frederick Penza practices at 6 Enfield Dr, Andover, MA 01810. The listed phone number is (978) 475-6169.

What is Frederick Penza's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Frederick Penza was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.