| Jonathan Scully, MA | |
|
697 Main St Ste 1, Holden, MA 01520-1861 | |
| (774) 633-9443 | |
| Not Available |
| Full Name | Jonathan Scully |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 697 Main St Ste 1, Holden, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700322278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinical And Support Options, Inc | 6608835350 | 105 |
| Entity Name | Clinical & Support Options, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831265115 PECOS PAC ID: 6608835350 Enrollment ID: O20041007000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Scully, MA 697 Main St Ste 1, Holden, MA 01520-1861 Ph: (774) 633-9443 | Jonathan Scully, MA 697 Main St Ste 1, Holden, MA 01520-1861 Ph: (774) 633-9443 |
Eneida Qirko, Counselor Medicare: May Accept Medicare Assignments Practice Location: 71 Cranbrook Dr, Holden, MA 01520 Phone: 774-207-8207 | |
Ms. Emma L. Dauphinais, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Mark Cir, Holden, MA 01520 Phone: 508-340-3465 | |
Elizabeth Jayne Scott, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Main St, Holden, MA 01520 Phone: 508-797-7110 Fax: 774-345-4610 | |
Courtney Lynn Allain Paul, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Main St Ste 10, Holden, MA 01520 Phone: 774-415-0003 | |
Mrs. Kerry Carter Bergeron, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 21 Maple Street, Holden, MA 01520 Phone: 508-479-9151 | |
Jennifer Cummings, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 99 Flagler Dr, Holden, MA 01520 Phone: 508-868-2400 | |
Derrick Higgs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Main St, Holden, MA 01520 Phone: 508-797-7110 |