# DANIEL RUTRICK MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851500151
- **Authorized official:** EILEEN MCCLELLAN OFFICE MANAGER (OFFICE MANGER)
- **Authorized official phone:** (617) 387-2220

## Contact information

- **Practice address:** 617 BROADWAY, EVERETT, MA 02149-3712
- **Practice address phone:** (617) 387-2220
- **Practice address fax:** (617) 394-0538
- **Mailing address:** 617 BROADWAY, EVERETT, MA 02149-3712
- **Mailing address phone:** (617) 387-2220
- **Mailing address fax:** (617) 394-0538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 2351 | MA | — |
| 103TC1900X | Counseling Psychologist | 8277 | MA | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | 142070 | MA | — |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | 164216 | MA | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 36462 | MA | — |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 09/11/2025