| Amani Boulos Michael, MD | |
|
2 Pheasant Ridge Rd, Canton, MA 02021-2650 | |
| (781) 363-5801 | |
| (781) 828-1106 |
| Full Name | Amani Boulos Michael |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2 Pheasant Ridge Rd, Canton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568451615 | NPI | - | NPPES |
| 2023377 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 161106 (Massachusetts) | Primary |
| Entity Name | Congenial Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730608720 PECOS PAC ID: 5395011522 Enrollment ID: O20171016002508 |
| Mailing Address | Practice Location Address |
|---|---|
| Amani Boulos Michael, MD 2 Pheasant Ridge Rd, Canton, MA 02021-2650 Ph: (781) 363-5801 | Amani Boulos Michael, MD 2 Pheasant Ridge Rd, Canton, MA 02021-2650 Ph: (781) 363-5801 |
Dr. David H Levoy, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3 Randolph St, Mass Hospital School, Canton, MA 02021 Phone: 617-244-0111 | |
Dr. Stephen Melville Creel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 238 Bailey St, Canton, MA 02021 Phone: 781-821-8566 | |
Dr. Barbara Lee Goldstein, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 275 Turnpike St, Suite 105, Canton, MA 02021 Phone: 781-828-8968 Fax: 781-821-1743 |