NPIMap

Organization Active NPI

Life Health Center

  • Prescribing (Medical) Psychologist
  • Fitchburg, MA
National Provider Identifier
1154569317
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
33670 Issued in MA
Legal business name
LIFE HEALTH CENTER
Practice address
348 Lunenburg St # Ma
#301
Fitchburg, MA 01420-4566
Phone
(978) 345-0953
Fax
(978) 345-0585
NPI assigned
Jan 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Roland H Ungerer, M.D.
Title
Director
Phone
(978) 345-0953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 33670 MA Primary

Addresses

Primary practice location

348 Lunenburg St # Ma
#301
Fitchburg, MA 01420-4566

Mailing address

348 Lunenburg Ma
#301
Fitchburg, MA 01420
Phone (978) 345-0953

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1154569317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 LUNENBURG MA",
            "address_2": "#301",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-345-0953",
            "fax_number": "978-345-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 LUNENBURG ST # MA",
            "address_2": "#301",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014204566",
            "telephone_number": "978-345-0953",
            "fax_number": "978-345-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "UNGERER",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "978-345-0953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MA",
            "license": "33670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.