Healthcare Provider Details

I. General information

NPI: 1952714644
Provider Name (Legal Business Name): MR. RICHARD ARTHUR CUMMINGS III
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2014
Last Update Date: 06/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 EAST ST
EASTHAMPTON MA
01027-1234
US

IV. Provider business mailing address

132 EXCHANGE ST
CHICOPEE MA
01013-1243
US

V. Phone/Fax

Practice location:
  • Phone: 413-320-7262
  • Fax: 413-527-2138
Mailing address:
  • Phone: 413-320-7262
  • Fax: 413-527-2138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: