Healthcare Provider Details

I. General information

NPI: 1710287578
Provider Name (Legal Business Name): CHRISTOPHER DOUGLAS CAFFREY PMHNP, ACNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2010
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1881 WORCESTER RD
FRAMINGHAM MA
01701-5410
US

IV. Provider business mailing address

1881 WORCESTER RD STE 203
FRAMINGHAM MA
01701-5410
US

V. Phone/Fax

Practice location:
  • Phone: 508-834-3183
  • Fax: 508-532-1168
Mailing address:
  • Phone: 508-834-3183
  • Fax: 508-532-1168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number279047
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number279047
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code364SP0810X
TaxonomyChild & Family Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN279047
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: