| Boston Healthcare Inc | |
|
420 Main St Suite 15 Walpole MA 02081 | |
| (508) 660-7949 | |
| (508) 660-7943 |
| Full Name | Boston Healthcare Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 420 Main St, Walpole, Massachusetts |
| Authorized Official Name and Position | Emily C Deans (ACTING MEDICAL DIRECTOR) |
| Authorized Official Contact | 5086607949 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Healthcare Inc 420 Main St Suite 15 Walpole MA 02081 Ph: (508) 660-7949 | Boston Healthcare Inc 420 Main St Suite 15 Walpole MA 02081 Ph: (508) 660-7949 |
| NPI Number | 1821065640 |
|---|---|
| Provider Enumeration Date | 03/01/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0244218360 |
|---|---|
| Medicare Enrollment ID | O20040720001397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821065640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Russell Bisesi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801906797 PECOS PAC ID: 2961480645 Enrollment ID: I20040709000452 |
| Provider Name | Mohammed Munir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881631844 PECOS PAC ID: 5991798993 Enrollment ID: I20040819000239 |
| Provider Name | Patricia L Kerwin Derrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528143047 PECOS PAC ID: 9436244506 Enrollment ID: I20071004000152 |
| Provider Name | Alison G Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437255015 PECOS PAC ID: 8224102231 Enrollment ID: I20080808000100 |
| Provider Name | Emanuel S Chris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326086547 PECOS PAC ID: 6507922267 Enrollment ID: I20090304000339 |
| Provider Name | Nancy Vear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821118027 PECOS PAC ID: 5597881656 Enrollment ID: I20100926000005 |
| Provider Name | Charles W Styron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366413841 PECOS PAC ID: 5092908624 Enrollment ID: I20101015000001 |
| Provider Name | Ronna Dallal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932407863 PECOS PAC ID: 9537343595 Enrollment ID: I20110415000365 |
| Provider Name | Andrey Gagarin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225074123 PECOS PAC ID: 6002077872 Enrollment ID: I20120423000451 |
| Provider Name | David N Martino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235410846 PECOS PAC ID: 6800047184 Enrollment ID: I20121114000284 |
| Provider Name | Janet Alison Sobczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881921070 PECOS PAC ID: 7214191014 Enrollment ID: I20161012000860 |
| Provider Name | David J Stanford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114135357 PECOS PAC ID: 0941592703 Enrollment ID: I20171201000585 |
| Provider Name | Matthew M Peculis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184131898 PECOS PAC ID: 3476803917 Enrollment ID: I20180905000748 |
| Provider Name | Theresa Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790332435 PECOS PAC ID: 8820421555 Enrollment ID: I20191210002296 |
| Provider Name | Kimberly Keeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124735097 PECOS PAC ID: 3678928918 Enrollment ID: I20231006000974 |
Neuro Behavioral Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Main St Ste 15, Walpole, MA 02081 Phone: 508-660-1666 Fax: 508-660-1667 | |
New England Fertility Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 Main St Ste 9, Walpole, MA 02081 Phone: 617-855-9289 | |
Bconnected Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 Main St Ste 9, Walpole, MA 02081 Phone: 508-594-3231 Fax: 508-213-9012 | |
Walpole Behavioral Healthcare, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 841 Main St, Ll2, Walpole, MA 02081 Phone: 508-660-6699 Fax: 508-660-6658 | |
Isaacs & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 841 Main St, Suite 4, Walpole, MA 02081 Phone: 508-668-3284 Fax: 508-668-3381 | |
Kathleen Schuster Psyd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 West St, Walpole, MA 02081 Phone: 508-951-0847 Fax: 508-921-4613 | |
Jeni Labbe, Lmhc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 School St Unit 5, Walpole, MA 02081 Phone: 774-469-0522 |