Provider Demographics
NPI:1285765057
Name:HINCHEY, MICHAEL (MED)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:HINCHEY
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 WARD ST
Mailing Address - Street 2:UNIT 34
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-1318
Mailing Address - Country:US
Mailing Address - Phone:781-640-9376
Mailing Address - Fax:
Practice Address - Street 1:81 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2714
Practice Address - Country:US
Practice Address - Phone:978-354-4550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health