| Dr Kimberly Mastis, MD | |
|
148 Worcester St, West Boylston, MA 01583-1751 | |
| (508) 835-1735 | |
| Not Available |
| Full Name | Dr Kimberly Mastis |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 148 Worcester St, West Boylston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285791780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 236381 (Massachusetts) | Primary |
| Entity Name | Pediatric Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487779104 PECOS PAC ID: 0042677023 Enrollment ID: O20230607000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kimberly Mastis, MD 148 Worcester St, West Boylston, MA 01583-1751 Ph: () - | Dr Kimberly Mastis, MD 148 Worcester St, West Boylston, MA 01583-1751 Ph: (508) 835-1735 |
Dr. Jonathan M Jacobson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 148 Worcester St, West Boylston, MA 01583 Phone: 508-835-1735 Fax: 508-835-1736 | |
Dr. Kamlyn Haynes, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 47 Prospect St, West Boylston, MA 01583 Phone: 781-608-2241 Fax: 508-835-4418 | |
Stephen D Starr, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 354 W Boylston St, Suite 224, West Boylston, MA 01583 Phone: 508-756-0470 Fax: 508-756-0471 |