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General NPI Number Information
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NPI Number | 1598770984
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Entity Type | Organization
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Legal Business Name | PSYCH CARE ASSOC PC
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 11/01/2025
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Provider Practice Location Address
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Address Line | 85 POST OFFICE PARK STE 8501-B
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City | WILBRAHAM
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State | MA
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Zip | 01095-1247
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Country | US
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Telephone | 413-583-6750
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Fax | 833-974-2219
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Provider Business Mailing Address
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Address Line | 85 POST OFFICE PARK STE 8501-B
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City | WILBRAHAM
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State | MA
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Zip | 01095-1247
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Country | US
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Telephone | 413-583-6750
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Fax | 833-974-2219
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ASIMAH QAYYUM
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Credential | MD
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Telephone | 413-583-6750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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