| Kirtley Young, | |
|
74 Charles River Rd, Watertown, MA 02472-2646 | |
| (857) 228-8404 | |
| Not Available |
| Full Name | Kirtley Young |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 74 Charles River Rd, Watertown, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982004602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 9944 (Massachusetts) | Secondary |
| 101YM0800X | Counselor - Mental Health | 9944 (Massachusetts) | Primary |
| Entity Name | Eliot Community Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679648182 PECOS PAC ID: 2062488000 Enrollment ID: O20040909001199 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirtley Young, 1660 Soldiers Field Rd, Ste 7 #1149, Brighton, MA 02135 Ph: (857) 228-8404 | Kirtley Young, 74 Charles River Rd, Watertown, MA 02472-2646 Ph: (857) 228-8404 |
Matthew Cipollone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 N Beacon St Ste 2, Watertown, MA 02472 Phone: 617-661-3991 Fax: 617-661-7277 | |
Jeana Rose Johnson, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 16 French St # 2, Watertown, MA 02472 Phone: 857-600-6223 | |
Miss Loveth Omo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Ladd St, Watertown, MA 02472 Phone: 857-869-5533 | |
Carrie Wicks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Harnden Ave, Watertown, MA 02472 Phone: 330-328-5841 | |
Kristen Anne Hackney, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Whites Ave, Apt #63, Watertown, MA 02472 Phone: 203-915-8599 | |
Claudia J. Dupre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Watertown St Ste 2d, Watertown, MA 02472 Phone: 617-936-5069 | |
Mr. Jacob Matthew Patkin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Mount Auburn St Ste 205, Watertown, MA 02472 Phone: 617-855-9295 |