| Beverly Center, P.c. | |
|
100 Cummings Center Beverly MA 01915-6113 | |
| (978) 922-6613 | |
| (978) 921-1094 |
| Full Name | Beverly Center, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 100 Cummings Center, Beverly, Massachusetts |
| Authorized Official Name and Position | George Ivan Beilin (PRESIDENT) |
| Authorized Official Contact | 9789226613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Center, P.c. 100 Cummings Ctr Beverly MA 01915-6113 Ph: (978) 922-6613 | Beverly Center, P.c. 100 Cummings Center Beverly MA 01915-6113 Ph: (978) 922-6613 |
| NPI Number | 1275509663 |
|---|---|
| Provider Enumeration Date | 02/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062326648 |
|---|---|
| Medicare Enrollment ID | O20031118000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275509663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (Massachusetts) | Primary |
| Provider Name | George I Beilin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043286669 PECOS PAC ID: 8022922616 Enrollment ID: I20081231000016 |
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