| Danielle M Providakes, | |
|
399 Revolution Dr, Somerville, MA 02145-1484 | |
| (800) 856-1983 | |
| Not Available |
| Full Name | Danielle M Providakes |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 399 Revolution Dr, Somerville, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699057737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9335 (Massachusetts) | Primary |
| Entity Name | Mass General Brigham Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891112637 PECOS PAC ID: 1759273436 Enrollment ID: O20150723007726 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle M Providakes, 399 Revolution Dr, Somerville, MA 02145-1484 Ph: Not Available | Danielle M Providakes, 399 Revolution Dr, Somerville, MA 02145-1484 Ph: (800) 856-1983 |
Mr. Josh Bartok, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Medford St # 2, Somerville, MA 02145 Phone: 617-794-2637 |
Garrison Cross Woodfield, Counselor Medicare: Medicare Enrolled Practice Location: 17 Inner Belt Rd, Somerville, MA 02143 Phone: 617-629-6790 |
Yvonne Kathryn Fall, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Stone Ave Apt 2, Somerville, MA 02143 Phone: 781-424-1958 |
Baihe Lily Cui, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Innerbelt Rd, Somerville, MA 02143 Phone: 617-629-6790 Fax: 617-629-0010 |
Timothy J Quinones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 260 Beacon St, Somerville, MA 02143 Phone: 617-661-5700 |
Michael Phillips Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Ward St Ste 200, Somerville, MA 02143 Phone: 617-629-6790 |
Ms. Christine Kathleen Mcquade, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 Elm St Fl 3, Somerville, MA 02144 Phone: 413-297-3717 |