| Eleanor Health Professional Ma, Pllc | |
|
108 Grove St Ste 200 Worcester MA 01605-2651 | |
| (866) 420-5113 | |
| (833) 963-2102 |
| Full Name | Eleanor Health Professional Ma, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 108 Grove St Ste 200, Worcester, Massachusetts |
| Authorized Official Name and Position | Nzinga Harrison (OWNER) |
| Authorized Official Contact | 6174190858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Health Professional Ma, Pllc 221 Crescent St Ste 202 Waltham MA 02453-3425 Ph: (919) 765-8744 | Eleanor Health Professional Ma, Pllc 108 Grove St Ste 200 Worcester MA 01605-2651 Ph: (866) 420-5113 |
| NPI Number | 1205446374 |
|---|---|
| Provider Enumeration Date | 08/04/2020 |
| Last Update Date | 07/30/2021 |
| Certification Date | 07/30/2021 |
| Medicare PECOS PAC ID | 7416360946 |
|---|---|
| Medicare Enrollment ID | O20201230001583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205446374 | NPI | - | NPPES |
| Provider Name | Debra Lamoureux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396828570 PECOS PAC ID: 4284674342 Enrollment ID: I20050509000092 |
| Provider Name | Linda M Kinch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174560817 PECOS PAC ID: 4284791385 Enrollment ID: I20090317000129 |
| Provider Name | Joy E O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841185 PECOS PAC ID: 9436324712 Enrollment ID: I20111215000191 |
| Provider Name | Kimberly Roberts-schultheis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013128586 PECOS PAC ID: 2668693854 Enrollment ID: I20141103000868 |
| Provider Name | Myles Jen Kin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669766135 PECOS PAC ID: 7012145030 Enrollment ID: I20150710001705 |
| Provider Name | Freddy Carreras Alvarado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184057648 PECOS PAC ID: 0345539516 Enrollment ID: I20170323000967 |
| Provider Name | Cherise L Robinson Pires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649767054 PECOS PAC ID: 1153676861 Enrollment ID: I20180621000644 |
| Provider Name | Brookeita Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588033187 PECOS PAC ID: 6204255052 Enrollment ID: I20200929001842 |
| Provider Name | Nzinga Ajabu Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518099910 PECOS PAC ID: 5698793875 Enrollment ID: I20201230001803 |
| Provider Name | Jadebrey Vyshette Kennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518574441 PECOS PAC ID: 1951721307 Enrollment ID: I20220610001765 |
| Provider Name | Trinasia Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902427933 PECOS PAC ID: 3173902079 Enrollment ID: I20220623002277 |
| Provider Name | Misty Leigh Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164190799 PECOS PAC ID: 0345621991 Enrollment ID: I20220714000640 |
| Provider Name | Stephen William North |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073611091 PECOS PAC ID: 3476527300 Enrollment ID: I20220906000587 |
| Provider Name | Marcell Ines Baez Patrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952068660 PECOS PAC ID: 4385009489 Enrollment ID: I20230425000389 |
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