NPIMap

Organization Active NPI

Stephanie M. Fitzgerald

  • Mental Health Counselor
  • Salem, MA
National Provider Identifier
1669665717
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
117519 Issued in MA
Legal business name
STEPHANIE M. FITZGERALD
Doing business as
FitzGerald & Associates
Practice address
34 Summer St
Salem, MA 01970-3317
Phone
(978) 744-8608
Fax
(978) 744-3702
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Ms. Stephanie M Fitzgerald, RN,MS,CS,PC
Title
Psychiatric Clinical Nurse
Phone
(978) 744-8608

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X 117519 MA
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 117519 MA Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 117519 MA

Addresses

Primary practice location

34 Summer St
Salem, MA 01970-3317

Mailing address

34 Summer St
Salem, MA 01970-3317
Phone (978) 744-8608

Other names 1

  • FitzGerald & Associates Doing business as

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": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1669665717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SUMMER ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703317",
            "telephone_number": "978-744-8608",
            "fax_number": "978-744-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SUMMER ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703317",
            "telephone_number": "978-744-8608",
            "fax_number": "978-744-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE M. FITZGERALD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHIATRIC CLINICAL NURSE",
        "authorized_official_telephone_number": "978-744-8608",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,MS,CS,PC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MA",
            "license": "117519",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "117519",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "117519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FitzGerald & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.