| Fairwinds-nantuckets Counseling Center | |
|
20 Vesper Ln L-1 Gouin Village Nantucket MA 02554-4394 | |
| (508) 228-2689 | |
| (508) 228-3613 |
| Full Name | Fairwinds-nantuckets Counseling Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 20 Vesper Ln, Nantucket, Massachusetts |
| Authorized Official Name and Position | Jason Bridges (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5082282689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairwinds-nantuckets Counseling Center 20 Vesper Ln L-1 Gouin Village Nantucket MA 02554-4394 Ph: (508) 228-2684 | Fairwinds-nantuckets Counseling Center 20 Vesper Ln L-1 Gouin Village Nantucket MA 02554-4394 Ph: (508) 228-2689 |
| NPI Number | 1275621385 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Medicare PECOS PAC ID | 7517997992 |
|---|---|
| Medicare Enrollment ID | O20050816000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275621385 | NPI | - | NPPES |
| M18553 | Other | MA | BLUE CROSS & BLUE SHIELD |
| 329925 | Other | MA | HARVARD PILGRIM PPO |
| M18553 | Other | MA | BCBS |
| 1301721 | Medicaid | MA |
| Provider Name | Dominic J Maxwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134178106 PECOS PAC ID: 9931180833 Enrollment ID: I20090930000254 |
| Provider Name | Trista Escobar Metz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992988695 PECOS PAC ID: 9436433265 Enrollment ID: I20170412001703 |
| Provider Name | Amanda Breslin Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912494857 PECOS PAC ID: 2163804733 Enrollment ID: I20220728001605 |
| Provider Name | Joy Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457738510 PECOS PAC ID: 3274833728 Enrollment ID: I20220909000681 |
| Provider Name | Taylor Hilst Cardelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609201375 PECOS PAC ID: 4183086911 Enrollment ID: I20230810003841 |
Family And Children's Services Of Nantucket Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Essex Rd, Nantucket, MA 02554 Phone: 413-636-5102 | |
Karen H. Brody, Md, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Lyons Ln, Nantucket, MA 02554 Phone: 508-257-4021 Fax: 508-257-4024 | |
Nantucket Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 1/2 Bartlett Road, Nantucket, MA 02554 Phone: 781-786-2998 | |
Family And Children's Services Of Nantucket Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Silver St, Nantucket, MA 02554 Phone: 508-847-2081 | |
Lucy Salomon M.d.,p.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Wannacomet Rd, Nantucket, MA 02554 Phone: 508-228-3959 Fax: 508-325-7017 | |
Darcie Evans Licsw Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Goldfinch Dr, Nantucket, MA 02554 Phone: 508-825-2552 Fax: 508-825-0831 |