IndividualActive
Juan Ortega
NPI 1053655159 · School Psychologist · Beverly, MA
Provider details
- NPI number
- 1053655159
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 450953 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
800 Cummings Ctr
Suite 360 U
Beverly, MA 01915-6175
Phone: (978) 201-1066
Approximate (ZIP-level) locationGet directions
Mailing address
800 Cummings Ctr
Beverly, MA 01915-6175
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2012-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.