| Boston University Psychiatry Associates, Inc. | |
|
1 Boston Medical Ctr Pl Boston MA 02118-2908 | |
| (617) 414-5245 | |
| (617) 414-5520 |
| Full Name | Boston University Psychiatry Associates, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Boston Medical Ctr Pl, Boston, Massachusetts |
| Authorized Official Name and Position | David C. Henderson (PRESIDENT) |
| Authorized Official Contact | 6176388141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston University Psychiatry Associates, Inc. 960 Massachusetts Ave Fl 2 Boston MA 02118-2690 Ph: () - | Boston University Psychiatry Associates, Inc. 1 Boston Medical Ctr Pl Boston MA 02118-2908 Ph: (617) 414-5245 |
| NPI Number | 1073619854 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 7911805361 |
|---|---|
| Medicare Enrollment ID | O20031223000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073619854 | NPI | - | NPPES |
| 110072510A | Medicaid | MA |
| Provider Name | Laura Marie Prager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518940956 PECOS PAC ID: 6002890431 Enrollment ID: I20040615000271 |
| Provider Name | Kari Cretella Nickou |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255379103 PECOS PAC ID: 1759337298 Enrollment ID: I20050328000623 |
| Provider Name | Linda A Piwowarczyk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275541906 PECOS PAC ID: 7911954540 Enrollment ID: I20050405001146 |
| Provider Name | Peggy L Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588626501 PECOS PAC ID: 5597712190 Enrollment ID: I20050406000168 |
| Provider Name | Robert Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104983659 PECOS PAC ID: 2466499595 Enrollment ID: I20050411000955 |
| Provider Name | Eugene O Uzogara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831108406 PECOS PAC ID: 5991742892 Enrollment ID: I20050412001223 |
| Provider Name | David C Henderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699759076 PECOS PAC ID: 7214975713 Enrollment ID: I20050425000131 |
| Provider Name | Carol A Cahill |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1932232006 PECOS PAC ID: 5597701078 Enrollment ID: I20050706000806 |
| Provider Name | Helena A Rocha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740201383 PECOS PAC ID: 6305875394 Enrollment ID: I20050810000412 |
| Provider Name | Isidore L Berenbaum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245256668 PECOS PAC ID: 3678590528 Enrollment ID: I20051029000233 |
| Provider Name | Dana S Rubin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598725582 PECOS PAC ID: 9537177670 Enrollment ID: I20060330000453 |
| Provider Name | Karen W Kwok |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922034396 PECOS PAC ID: 3678577145 Enrollment ID: I20060914000465 |
| Provider Name | Joanna Piechniczek Buczek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225056245 PECOS PAC ID: 7416052287 Enrollment ID: I20070424000244 |
| Provider Name | Paul G Hammerness |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417930850 PECOS PAC ID: 7113007451 Enrollment ID: I20071228000033 |
| Provider Name | Anna Katharina Trede |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114903655 PECOS PAC ID: 6103859541 Enrollment ID: I20080506000654 |
| Provider Name | Wendy Qiu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053408195 PECOS PAC ID: 5799848693 Enrollment ID: I20090120000019 |
| Provider Name | Nancy Crouse |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1396944732 PECOS PAC ID: 5597818542 Enrollment ID: I20090808000132 |
| Provider Name | Leslie A Fishman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174557599 PECOS PAC ID: 6800876749 Enrollment ID: I20110120000751 |
| Provider Name | Asma Rashid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154515286 PECOS PAC ID: 8123208089 Enrollment ID: I20110209000732 |
| Provider Name | Jori Berger Greenstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164528923 PECOS PAC ID: 2365622032 Enrollment ID: I20110212000025 |
| Provider Name | Eric Devine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295749174 PECOS PAC ID: 1658552146 Enrollment ID: I20110216000516 |
| Provider Name | Vivian P. Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841322716 PECOS PAC ID: 0446436844 Enrollment ID: I20110519000644 |
| Provider Name | Robert W Irvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063459170 PECOS PAC ID: 5799963435 Enrollment ID: I20110628000096 |
| Provider Name | Syed A. Jafery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255582698 PECOS PAC ID: 5890966857 Enrollment ID: I20110922000619 |
| Provider Name | Natalija Bogdanovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225291610 PECOS PAC ID: 0941476048 Enrollment ID: I20111220000325 |
| Provider Name | Meredith Peterson Waites |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518090711 PECOS PAC ID: 6608043468 Enrollment ID: I20120118000741 |
| Provider Name | Lisa Morishanti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629352968 PECOS PAC ID: 7214196708 Enrollment ID: I20120301000550 |
| Provider Name | Karen M Henley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215919766 PECOS PAC ID: 8729243704 Enrollment ID: I20120625000336 |
| Provider Name | Hannah E Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457510083 PECOS PAC ID: 2163680737 Enrollment ID: I20120725000647 |
| Provider Name | Rachel A Lerner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497069181 PECOS PAC ID: 5698921971 Enrollment ID: I20120802000496 |
| Provider Name | Ajay Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396997326 PECOS PAC ID: 0446407852 Enrollment ID: I20120820000814 |
| Provider Name | Amy M. Yule |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720114440 PECOS PAC ID: 4486813474 Enrollment ID: I20120924000548 |
| Provider Name | Lovern Moseley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023255742 PECOS PAC ID: 0648424499 Enrollment ID: I20130508000487 |
| Provider Name | Juilet Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578840526 PECOS PAC ID: 8123267770 Enrollment ID: I20130612000202 |
| Provider Name | Richard C Villa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467734962 PECOS PAC ID: 3375762479 Enrollment ID: I20140923001629 |
| Provider Name | Laura J Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215256524 PECOS PAC ID: 8628297629 Enrollment ID: I20140923001683 |
| Provider Name | Andres A. Eboli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558598656 PECOS PAC ID: 9931328960 Enrollment ID: I20140924000293 |
| Provider Name | Alison Tam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427378777 PECOS PAC ID: 7719119106 Enrollment ID: I20141010000792 |
| Provider Name | Andrea Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124150420 PECOS PAC ID: 4486875846 Enrollment ID: I20141028001741 |
| Provider Name | Adeliza Olivero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013238682 PECOS PAC ID: 4183855273 Enrollment ID: I20141210001171 |
| Provider Name | Kiki Venios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407088024 PECOS PAC ID: 1557498474 Enrollment ID: I20150120001837 |
| Provider Name | Kelly Fournier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750379780 PECOS PAC ID: 2062739758 Enrollment ID: I20150317001626 |
| Provider Name | Judith Forman Bello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518088590 PECOS PAC ID: 2163749813 Enrollment ID: I20150318001052 |
| Provider Name | Martha M Vibbert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437173861 PECOS PAC ID: 0840517702 Enrollment ID: I20150402001536 |
| Provider Name | Edwige Berrouet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104886597 PECOS PAC ID: 7214255595 Enrollment ID: I20150416001823 |
| Provider Name | Sarah L. Kirshenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548648793 PECOS PAC ID: 2365757077 Enrollment ID: I20150810002097 |
| Provider Name | Cara H Fuchs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215124839 PECOS PAC ID: 2163725540 Enrollment ID: I20160119000699 |
| Provider Name | Gairlande Audiesse-vital |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477893071 PECOS PAC ID: 7618266008 Enrollment ID: I20160525002317 |
| Provider Name | Jonathan S Abrams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285916007 PECOS PAC ID: 7618267618 Enrollment ID: I20160603000515 |
| Provider Name | Kevin Donnelly Boylen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942564000 PECOS PAC ID: 2567617301 Enrollment ID: I20160721001559 |
| Provider Name | Sarah Valentine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891131140 PECOS PAC ID: 7214223999 Enrollment ID: I20160906002168 |
| Provider Name | Danielle T Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174078364 PECOS PAC ID: 6305126699 Enrollment ID: I20161202000249 |
| Provider Name | Christine M Crawford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154734374 PECOS PAC ID: 2961620927 Enrollment ID: I20170111000389 |
| Provider Name | Mariel K Wrean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245773241 PECOS PAC ID: 5294017158 Enrollment ID: I20170130000646 |
| Provider Name | Isidra Guadalupe Hernandez Morelos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982913315 PECOS PAC ID: 6507149432 Enrollment ID: I20170220000777 |
| Provider Name | Maureen A. Patterson-fede |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225583966 PECOS PAC ID: 7517242514 Enrollment ID: I20170313002121 |
| Provider Name | Shamaila A. Khan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023212768 PECOS PAC ID: 3779854682 Enrollment ID: I20170810000443 |
| Provider Name | Chenelle Christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780138180 PECOS PAC ID: 4981979408 Enrollment ID: I20171010002010 |
| Provider Name | Sana Muqqadus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568971547 PECOS PAC ID: 7113284001 Enrollment ID: I20171130003179 |
| Provider Name | Meghan Brett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124349758 PECOS PAC ID: 7719246784 Enrollment ID: I20180119001168 |
| Provider Name | Nivea E Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407366644 PECOS PAC ID: 3678833159 Enrollment ID: I20180131002569 |
| Provider Name | Jessica Marie Lewczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205249745 PECOS PAC ID: 6608136577 Enrollment ID: I20180214002240 |
| Provider Name | Katherine A Thayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720360134 PECOS PAC ID: 4183987969 Enrollment ID: I20180409000474 |
| Provider Name | Claire Margaret Madden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427482421 PECOS PAC ID: 8426312208 Enrollment ID: I20180502001267 |
| Provider Name | Maria C Prom De Illanes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710390851 PECOS PAC ID: 5294953741 Enrollment ID: I20180517002311 |
| Provider Name | Tasha Berroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639571763 PECOS PAC ID: 3678838109 Enrollment ID: I20180604000268 |
| Provider Name | Paula Laventure-charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467960583 PECOS PAC ID: 5597011197 Enrollment ID: I20180712001678 |
| Provider Name | Dara Leah Wilensky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558788745 PECOS PAC ID: 9436473774 Enrollment ID: I20180724002440 |
| Provider Name | Yohanis L. Anglero Diaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881037695 PECOS PAC ID: 2961627815 Enrollment ID: I20180815003150 |
| Provider Name | Alison M Duncan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528301181 PECOS PAC ID: 4688892649 Enrollment ID: I20180913001968 |
| Provider Name | Kaila A Rudolph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225485576 PECOS PAC ID: 7113212168 Enrollment ID: I20180928000534 |
| Provider Name | Emily Kate Zanardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235671066 PECOS PAC ID: 9830442110 Enrollment ID: I20181102002288 |
| Provider Name | Maura S Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184843088 PECOS PAC ID: 9335486141 Enrollment ID: I20190131001318 |
| Provider Name | Monique R Balfour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992242309 PECOS PAC ID: 2264770858 Enrollment ID: I20190206000592 |
| Provider Name | Lynda D Cripps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225509920 PECOS PAC ID: 8729326715 Enrollment ID: I20190218001512 |
| Provider Name | Deborah Rae Goldfarb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538487491 PECOS PAC ID: 1951640424 Enrollment ID: I20190227001657 |
| Provider Name | Elizabeth R Egan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215257043 PECOS PAC ID: 0042551608 Enrollment ID: I20190408002412 |
| Provider Name | Dean Robert Howell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407353154 PECOS PAC ID: 4688915796 Enrollment ID: I20190417001893 |
| Provider Name | Esperanza Victoria Salinas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437630704 PECOS PAC ID: 8820330624 Enrollment ID: I20190426001001 |
| Provider Name | Michael A. Dawes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841274594 PECOS PAC ID: 9638103146 Enrollment ID: I20190611002515 |
| Provider Name | Elissa Bargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396041158 PECOS PAC ID: 0547593071 Enrollment ID: I20190614000803 |
| Provider Name | Roopa Mathur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740608074 PECOS PAC ID: 7416208863 Enrollment ID: I20190812000269 |
| Provider Name | Subha Baisyat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750763116 PECOS PAC ID: 0345531224 Enrollment ID: I20190829001106 |
| Provider Name | Tobin E. Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164673042 PECOS PAC ID: 3476881376 Enrollment ID: I20190829002177 |
| Provider Name | Jessica E Isom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417334863 PECOS PAC ID: 6305151119 Enrollment ID: I20190903002388 |
| Provider Name | Miriam Suzanne Komaromy |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1174620272 PECOS PAC ID: 5890788293 Enrollment ID: I20191104001099 |
| Provider Name | Santia Berberena |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922318492 PECOS PAC ID: 2668805987 Enrollment ID: I20191127000610 |
| Provider Name | Nicole F Ciccone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477815066 PECOS PAC ID: 5092145862 Enrollment ID: I20200417001967 |
| Provider Name | Bianca Meant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609398494 PECOS PAC ID: 3779846514 Enrollment ID: I20200424001365 |
| Provider Name | Adekemi Victoria Adeleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528549425 PECOS PAC ID: 4183055965 Enrollment ID: I20200511003010 |
| Provider Name | Nkechi T Conteh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700249307 PECOS PAC ID: 1254624596 Enrollment ID: I20200806000799 |
| Provider Name | Nadia Olivia Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962794370 PECOS PAC ID: 6406273259 Enrollment ID: I20200825003603 |
| Provider Name | Maria N. Neves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669769725 PECOS PAC ID: 0345668513 Enrollment ID: I20200921001471 |
| Provider Name | Joseph Boyle |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1790147130 PECOS PAC ID: 2567756687 Enrollment ID: I20201015002863 |
| Provider Name | Beth S Marx |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619345964 PECOS PAC ID: 0143640839 Enrollment ID: I20201019002363 |
| Provider Name | Christine Melissa Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134290661 PECOS PAC ID: 7911311691 Enrollment ID: I20210121001530 |
| Provider Name | Emily Ruth Kline |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306375845 PECOS PAC ID: 7911311139 Enrollment ID: I20210129002321 |
| Provider Name | Ann M. Rasmusson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255412607 PECOS PAC ID: 7719086453 Enrollment ID: I20210427001769 |
| Provider Name | William-bernard Reid-varley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205290228 PECOS PAC ID: 3779874664 Enrollment ID: I20210505001118 |
| Provider Name | Elizabeth K Plange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538649835 PECOS PAC ID: 8820490683 Enrollment ID: I20210715003046 |
| Provider Name | Asuma Tanaka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093249997 PECOS PAC ID: 7618214701 Enrollment ID: I20210804001249 |
| Provider Name | Lauren R Herzog |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518499714 PECOS PAC ID: 1951678457 Enrollment ID: I20210811003604 |
| Provider Name | Sofia Vivoni Corominas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447603816 PECOS PAC ID: 7618236191 Enrollment ID: I20210814000020 |
| Provider Name | Juliana Scherer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972132348 PECOS PAC ID: 2365847175 Enrollment ID: I20210817002248 |
| Provider Name | Stephanie E Kuntz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689056897 PECOS PAC ID: 0244661528 Enrollment ID: I20210916003123 |
| Provider Name | Devin N Cromartie Bodrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669904462 PECOS PAC ID: 8921379728 Enrollment ID: I20211020000434 |
| Provider Name | Taneequa S. Fields |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164076766 PECOS PAC ID: 1355731779 Enrollment ID: I20211129001678 |
| Provider Name | Jesika Jennifer Lopez Nascimento |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184905093 PECOS PAC ID: 2769873538 Enrollment ID: I20220105001610 |
| Provider Name | Joelle Taos Taknint |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588217558 PECOS PAC ID: 0749673366 Enrollment ID: I20220203000648 |
| Provider Name | Rachel Claire Daws |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376113993 PECOS PAC ID: 5799170932 Enrollment ID: I20220324002080 |
| Provider Name | Danny Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356017271 PECOS PAC ID: 3577950146 Enrollment ID: I20220428002324 |
| Provider Name | Ashley M Nieves Archibald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598269516 PECOS PAC ID: 7719237155 Enrollment ID: I20220502001537 |
| Provider Name | Carly M. Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205317062 PECOS PAC ID: 3577941673 Enrollment ID: I20220601002573 |
| Provider Name | Anne E Berrigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629547542 PECOS PAC ID: 5092193698 Enrollment ID: I20220610001433 |
| Provider Name | Brittany M Gouse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245734607 PECOS PAC ID: 9830449362 Enrollment ID: I20220622000355 |
| Provider Name | Ana Maria Rivas-grajales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700317666 PECOS PAC ID: 3971982687 Enrollment ID: I20220625000109 |
| Provider Name | Alexander L Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942705421 PECOS PAC ID: 2567711807 Enrollment ID: I20220625000210 |
| Provider Name | Liza A Katz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962984146 PECOS PAC ID: 9931589546 Enrollment ID: I20220629000640 |
| Provider Name | Rachael Claborn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093063992 PECOS PAC ID: 1658751052 Enrollment ID: I20220701000460 |
| Provider Name | Christopher T Lim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902300932 PECOS PAC ID: 3577811744 Enrollment ID: I20220725000821 |
| Provider Name | Alison S. Cohan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659854156 PECOS PAC ID: 5890177471 Enrollment ID: I20220728002024 |
| Provider Name | Chloe Marie Hylaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477202067 PECOS PAC ID: 0749662039 Enrollment ID: I20220803001237 |
| Provider Name | Okechukwu Nnaemeka Uzoeshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508538208 PECOS PAC ID: 5890177067 Enrollment ID: I20220804000923 |
| Provider Name | Bediha Ipekci |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275052797 PECOS PAC ID: 1153704705 Enrollment ID: I20220816000320 |
| Provider Name | Carla Merlos Chindongo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760809685 PECOS PAC ID: 2860876232 Enrollment ID: I20220902001140 |
| Provider Name | Micha C Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275086423 PECOS PAC ID: 2668858358 Enrollment ID: I20221004001049 |
| Provider Name | Meghan E Mcgrath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760722375 PECOS PAC ID: 7517334873 Enrollment ID: I20221031001243 |
| Provider Name | Patrick O. Gorman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780930107 PECOS PAC ID: 0143697417 Enrollment ID: I20221031001696 |
| Provider Name | Jerome Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780316869 PECOS PAC ID: 9436527967 Enrollment ID: I20221115000654 |
| Provider Name | Resham Carole Gellatly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902325277 PECOS PAC ID: 7012385461 Enrollment ID: I20221116001981 |
| Provider Name | Samantha Lamartine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013560218 PECOS PAC ID: 1759759798 Enrollment ID: I20221122001747 |
| Provider Name | Darline Justal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316610900 PECOS PAC ID: 4587033725 Enrollment ID: I20221212000712 |
| Provider Name | Michelle Couto Lima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124785415 PECOS PAC ID: 8527437664 Enrollment ID: I20221212000952 |
| Provider Name | Kendra C. Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558972927 PECOS PAC ID: 9638540115 Enrollment ID: I20230119002097 |
| Provider Name | Ashley V. Dortch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043597529 PECOS PAC ID: 8022480797 Enrollment ID: I20230206001392 |
| Provider Name | Beijame Barbosa Alves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447827563 PECOS PAC ID: 1759753429 Enrollment ID: I20230206001404 |
| Provider Name | Maithri F Ameresekere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457645475 PECOS PAC ID: 6204094824 Enrollment ID: I20230223002218 |
| Provider Name | Nicole M. Gagnon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780335810 PECOS PAC ID: 5294100491 Enrollment ID: I20230330002943 |
| Provider Name | Claudine Njob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851906879 PECOS PAC ID: 5395110340 Enrollment ID: I20230405002065 |
| Provider Name | Paige Laperle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528622826 PECOS PAC ID: 6103283502 Enrollment ID: I20230530002759 |
| Provider Name | Griffin A Tyree |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407315765 PECOS PAC ID: 9638409543 Enrollment ID: I20230530002974 |
| Provider Name | Kelley Sweeney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336618321 PECOS PAC ID: 8921465683 Enrollment ID: I20230612001405 |
| Provider Name | Ebunoluwa Toluwani Orimoloye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174182042 PECOS PAC ID: 0547628117 Enrollment ID: I20230614002958 |
| Provider Name | Wasim M. Muhammad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851896674 PECOS PAC ID: 7911257266 Enrollment ID: I20230620002164 |
| Provider Name | Sarah B. Perlman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265915086 PECOS PAC ID: 4082073606 Enrollment ID: I20230629002767 |
| Provider Name | Ashley Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619690922 PECOS PAC ID: 8123489010 Enrollment ID: I20230725000842 |
| Provider Name | Marya Krasik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598477960 PECOS PAC ID: 4688036528 Enrollment ID: I20230809003252 |
| Provider Name | Brooke Genkin Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952070377 PECOS PAC ID: 9335502715 Enrollment ID: I20230901000645 |
| Provider Name | Bridget Poznanski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720773591 PECOS PAC ID: 8123482155 Enrollment ID: I20230911000073 |
| Provider Name | Brandon Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669818118 PECOS PAC ID: 8224492939 Enrollment ID: I20230914000282 |
| Provider Name | Laura K Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619472347 PECOS PAC ID: 7315301934 Enrollment ID: I20230915001224 |
| Provider Name | Carla B Monteiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578030250 PECOS PAC ID: 3375907892 Enrollment ID: I20230915001899 |
| Provider Name | Samantha Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073182895 PECOS PAC ID: 9032563721 Enrollment ID: I20230928003588 |
| Provider Name | Sylcarme Gracelee Vixamar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558044529 PECOS PAC ID: 1254786668 Enrollment ID: I20231004002665 |
| Provider Name | Ana Isabel Vallejo Sefair |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063034817 PECOS PAC ID: 8729433073 Enrollment ID: I20231006001715 |
| Provider Name | Sohenga C. Depestre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053961201 PECOS PAC ID: 1456706597 Enrollment ID: I20231010003526 |
| Provider Name | Michael David Galvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831701473 PECOS PAC ID: 0840646261 Enrollment ID: I20231020002369 |
| Provider Name | Nuha Alshabani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306493986 PECOS PAC ID: 1951758036 Enrollment ID: I20231110001893 |
| Provider Name | Josephine Sebin Hwang Koo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144698804 PECOS PAC ID: 4486003167 Enrollment ID: I20231206002150 |
| Provider Name | Nadia Mildred Woghiren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073275921 PECOS PAC ID: 6709235278 Enrollment ID: I20231208001622 |
| Provider Name | Jennifer A. Piemme |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336268994 PECOS PAC ID: 3072965946 Enrollment ID: I20240116002761 |
| Provider Name | Tasha L Ferguson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649435173 PECOS PAC ID: 3274985080 Enrollment ID: I20240117002967 |
| Provider Name | Christine Pons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013418391 PECOS PAC ID: 6002268661 Enrollment ID: I20240118003623 |
| Provider Name | Aaron Finkelstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225695026 PECOS PAC ID: 3476905084 Enrollment ID: I20240119000678 |
| Provider Name | Frances B. Hatling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093244055 PECOS PAC ID: 4082066402 Enrollment ID: I20240122000265 |
| Provider Name | Casey C. Hoffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588017354 PECOS PAC ID: 2062864457 Enrollment ID: I20240122002963 |
| Provider Name | Siobhan Neafsey Cruise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295410074 PECOS PAC ID: 0941653109 Enrollment ID: I20240124003139 |
| Provider Name | Stephen M Coughlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427286459 PECOS PAC ID: 4880047422 Enrollment ID: I20240130002520 |
| Provider Name | Kristin M Parent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619256260 PECOS PAC ID: 5991148116 Enrollment ID: I20240205002939 |
| Provider Name | Amanda Rodrigues |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386210201 PECOS PAC ID: 1951745553 Enrollment ID: I20240222002332 |
The Collaborative Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Arlington St Ste 500, Boston, MA 02116 Phone: 617-651-1101 | |
Meditelecare Of Massachusetts, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 84 State St, Boston, MA 02109 Phone: 860-788-6404 Fax: 860-829-0495 | |
Ahead Massachusetts Medical Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Liberty Sq # 2523, Boston, MA 02109 Phone: 855-306-7786 Fax: 415-367-3629 | |
Harvard Vanguard Medical Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Brookline Ave, Boston, MA 02215 Phone: 617-421-1000 Fax: 617-421-1191 | |
Dr. Laura Fasciano Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Arch St Fl 8, Boston, MA 02110 Phone: 203-530-6979 | |
David Buckley Pmhnp Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Boylston St Ste 191l, Boston, MA 02116 Phone: 617-302-7102 | |
The Wellbeing Umbrella, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Devonshire St Ste 902, Boston, MA 02110 Phone: 617-383-7010 |