Matthew Paul Bock
Nurse Practitioner - Psychiatric/Mental Health
390 Merrill Rd
Pittsfield
, Massachusetts 01201-3724
Matthew Paul Bock
Nurse Practitioner - Psychiatric/Mental Health
390 Merrill Rd
Pittsfield
, Massachusetts 01201-3724
(508) 831-0074
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Matthew Paul Bock
- 10 Mechanic St Ste 302
- Worcester, MA
- Zip : 01608-2419
- Fax : (508) 831-0074
- Phone : (508) 792-5400
Second Address
- Matthew Paul Bock
- 390 Merrill Rd
- Pittsfield, MA
- Zip : 01201-3724
- Fax : (508) 831-0074
- Phone : (413) 442-0402
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 264608 | MA |
National Provider Identifier
| NPI | 1003388323 |
|---|---|
| Provider Name | Matthew Paul Bock |
| First Address | Worcester, MA 01608-2419 |
| Second Address | Pittsfield, MA 01201-3724 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2018 |
| Last Update Date | 27/12/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.