MEDICARE: MR. ASHLEY G CHAFFEE JR. MSN, RN, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN2295354	MA

General Provider Information

NPI Number	:	1578394102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ASHLEY G CHAFFEE JR. MSN, RN, PMHNP-BC

Provider Business Mailing Address
First Line	:	4 GLENN DR
Second Line	:
City	:	PITTSFIELD
State	:	MA
Zip	:	01201-1712
Country	:	US
Telephone Number	:	413-464-2325
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 GLENN DR
Second Line	:
City	:	PITTSFIELD
State	:	MA
Zip	:	01201-1712
Country	:	US
Telephone Number	:	413-464-8203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	11/20/2025

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Directions to “ MR. ASHLEY G CHAFFEE JR. MSN, RN, PMHNP-BC” Practice Location

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