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Export Provider Record NPI 1114425832
George M GachumaNP
Active
NPI Number1114425832
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Psych/Mental Health
Provider Details
NPI1114425832
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2018-01-28
Last Updated2018-11-08
Mailing Address38 Sunny Hill Dr
Worcester, MA 01602-2256
United States
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Primary Practice Address29 Pine St
Southbridge, MA 01550-1823
United States
Phone: (508) 765-9167
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Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LP0808X – Nurse Practitioner, Psych/Mental HealthMARN2273574
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About NPI 1114425832

George M Gachuma NP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114425832. The primary specialty listed is Nurse Practitioner, Psych/Mental Health. The provider is located in Southbridge, MA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-01-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1114425832?

NPI 1114425832 belongs to George M Gachuma NP, a Nurse Practitioner, Psych/Mental Health in Southbridge, MA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1114425832 active?

The current status of NPI 1114425832 in the NPPES registry is Active. The record was last updated on 2018-11-08.

What specialty is NPI 1114425832?

NPI 1114425832 is classified under the taxonomy Nurse Practitioner, Psych/Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1114425832?

You can verify NPI 1114425832 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1114425832?

The primary practice address on file for NPI 1114425832 is 29 Pine St, Southbridge, MA 01550-1823. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1114425832 issued?

NPI 1114425832 was first issued (enumerated) on 2018-01-28. The NPPES record was last updated on 2018-11-08.

Practice Location Map

George M Gachuma is located at 29 Pine St, Southbridge, MA. Use the map below to find directions or verify the practice location.

📍 29 Pine St, Southbridge, MA 01550-1823  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as George M Gachuma. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1114425832. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, Psych/Mental HealthRN2273574MA
Data Verified from CMS NPPES Last synced: 2026-06-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162