Healthcare Provider Details

I. General information

NPI: 1962340430
Provider Name (Legal Business Name): ADAM SCOTT CUTTER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 STATE ST
SPRINGFIELD MA
01109-4104
US

IV. Provider business mailing address

49 HARRISON AVE
CHICOPEE MA
01020-1752
US

V. Phone/Fax

Practice location:
  • Phone: 413-439-1200
  • Fax:
Mailing address:
  • Phone: 413-320-8548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number230467
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: