| Adult Behavioral Services Llc | |
|
140 Lincoln Ave Haverhill MA 01830-6700 | |
| (978) 521-8360 | |
| Not Available |
| Full Name | Adult Behavioral Services Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 140 Lincoln Ave, Haverhill, Massachusetts |
| Authorized Official Name and Position | Daniel Banks Baker (CEO) |
| Authorized Official Contact | 6179646681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Behavioral Services Llc 100 Crossing Blvd Suite 300 Framingham MA 01702-5555 Ph: (617) 964-6681 | Adult Behavioral Services Llc 140 Lincoln Ave Haverhill MA 01830-6700 Ph: (978) 521-8360 |
| NPI Number | 1912945825 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 08/27/2021 |
| Certification Date | 08/27/2021 |
| Medicare PECOS PAC ID | 3577537380 |
|---|---|
| Medicare Enrollment ID | O20040825001322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912945825 | NPI | - | NPPES |
| 9750550 | Medicaid | MA | |
| DC3806 | Other | MA | RAILROAD |
| W10644 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
| Provider Name | Louis A Velazquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154395556 PECOS PAC ID: 2567368475 Enrollment ID: I20031211000076 |
| Provider Name | Donna M Whyte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205855269 PECOS PAC ID: 2365332947 Enrollment ID: I20040318001095 |
| Provider Name | Emad H Eskander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073594594 PECOS PAC ID: 5991775165 Enrollment ID: I20040727000933 |
| Provider Name | Philip Gottlieb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114925138 PECOS PAC ID: 5294727178 Enrollment ID: I20040908000515 |
| Provider Name | Ricardo Mujica |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1356359152 PECOS PAC ID: 9335117423 Enrollment ID: I20040916001199 |
| Provider Name | Eleanor T Tedesco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700930914 PECOS PAC ID: 9638119308 Enrollment ID: I20050512000212 |
| Provider Name | Mustafa M Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043317845 PECOS PAC ID: 5597706994 Enrollment ID: I20050516000966 |
| Provider Name | Shauna M Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609818038 PECOS PAC ID: 4688688948 Enrollment ID: I20060126000216 |
| Provider Name | Shadi Zaghloul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336157007 PECOS PAC ID: 8820034564 Enrollment ID: I20070831000095 |
| Provider Name | Jeffrey P Campbell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1467677922 PECOS PAC ID: 7012073208 Enrollment ID: I20090313000366 |
| Provider Name | James A Lech |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245397819 PECOS PAC ID: 6608056635 Enrollment ID: I20110209000134 |
| Provider Name | Christina Iliades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336447218 PECOS PAC ID: 7719162585 Enrollment ID: I20110421000652 |
| Provider Name | Susana C Lugo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609946763 PECOS PAC ID: 2668428087 Enrollment ID: I20111119000111 |
| Provider Name | Isaac K. Ndungu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174900690 PECOS PAC ID: 6709197494 Enrollment ID: I20150622002598 |
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