Affect Provider Group P.S.C. - Medicare Mental Health Clinic in Boston, MA

Affect Provider Group P.S.C. is a medicare enrolled mental health clinic (Counselor - Mental Health) in Boston, Massachusetts. The current practice location for Affect Provider Group P.S.C. is 90 Canal St Ste 4, Boston, Massachusetts. For appointments, you can reach them via phone at (845) 769-8758. The mailing address for Affect Provider Group P.S.C. is Po Box 96635, Phoenix, Arizona and phone number is (845) 760-8758.

Affect Provider Group P.S.C. is licensed to practice in NU (license number ). The clinic also participates in the medicare program and its NPI number is 1689554362. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (845) 769-8758.

Contact Information

Affect Provider Group P.S.C.
90 Canal St Ste 4
Boston
MA 02114-2022
(845) 769-8758
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameAffect Provider Group P.S.C.
SpecialityCounselor
Location90 Canal St Ste 4, Boston, Massachusetts
Authorized Official Name and PositionKarla Renee Mullings (DIRECTOR OF COMPLIANCE)
Authorized Official Contact8457688758
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Affect Provider Group P.S.C.
Po Box 96635
Phoenix
AZ 85072-6635

Ph: (845) 760-8758
Affect Provider Group P.S.C.
90 Canal St Ste 4
Boston
MA 02114-2022

Ph: (845) 769-8758

NPI Details:

NPI Number1689554362
Provider Enumeration Date09/04/2025
Last Update Date08/20/2026
Certification Date08/20/2026

Medicare PECOS Information:

Medicare PECOS PAC ID5597105684
Medicare Enrollment IDO20260330000115

Medical Identifiers

Medical identifiers for Affect Provider Group P.S.C. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689554362NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (NU)Primary
101YP2500XCounselor - Professional (NU)Secondary
1041C0700XSocial Worker - Clinical (NU)Secondary
106H00000XMarriage & Family Therapist (NU)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health (NU)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Affect Provider Group P.S.C. acts as a billing entity for following providers:
Provider NameAndrietta Barnett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043648140
PECOS PAC ID: 4385875673
Enrollment ID: I20220325000059

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.