| Amanda Reyome, | |
| 
					1575 Blue Hill Ave, Mattapan, MA 02126-2122  | |
| (617) 296-0061 | |
| (617) 296-5408 | 
| Full Name | Amanda Reyome | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 1575 Blue Hill Ave, Mattapan, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891043998 | NPI | - | NPPES | 
| 1305638 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Entity Name | Mattapan Community Health Center, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942869342 PECOS PAC ID: 2062423866 Enrollment ID: O20190617001304  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amanda Reyome, 1774 Beacon St, Apt. 5, Brookline, MA 02445-2056 Ph: (219) 310-6137  | Amanda Reyome, 1575 Blue Hill Ave, Mattapan, MA 02126-2122 Ph: (617) 296-0061  | 
Ms. Dwyla J Angelos, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1613 Blue Hill Ave., Priority Professional Care Suite 302, Mattapan, MA 02126 Phone: 857-598-4774 Fax: 857-598-4816  | |
Osman Yusuf,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Woodbole Ave, Apt 151, Mattapan, MA 02126 Phone: 857-237-9281  | |
Ms. Kristin M Dame, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 46 River St, Mattapan, MA 02126 Phone: 617-699-2549  | |
Anita Viola Nichols-habib,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 River St, Mattapan, MA 02126 Phone: 781-322-1503  | |
Melissa Jules, MSW ME.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 1613 Blue Hill Ave Ste 304306, Mattapan, MA 02126 Phone: 857-399-6462  | |
Mr. Fritz Samson, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1525 Blue Hill Ave, Mattapan, MA 02126 Phone: 617-515-1952 Fax: 508-549-2187  | |
Pamela J Desilva,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 River St, Mattapan, MA 02126 Phone: 617-534-9109  |