| James P. Bresnahan, P.c. | |
|
55 Cedar St Worcester MA 01609-4101 | |
| (508) 752-1170 | |
| (508) 752-1800 |
| Full Name | James P. Bresnahan, P.c. |
|---|---|
| Speciality | Counselor |
| Location | 55 Cedar St, Worcester, Massachusetts |
| Authorized Official Name and Position | James Patrick Bresnahan (OWNER) |
| Authorized Official Contact | 5087521170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James P. Bresnahan, P.c. 55 Cedar St Worcester MA 01609-4101 Ph: (508) 752-1170 | James P. Bresnahan, P.c. 55 Cedar St Worcester MA 01609-4101 Ph: (508) 752-1170 |
| NPI Number | 1023289782 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 03/20/2008 |
| Medicare PECOS PAC ID | 5193167682 |
|---|---|
| Medicare Enrollment ID | O20240529003836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023289782 | NPI | - | NPPES |
| Y10400 | Other | MA | 1308785, 2220002001 |
| 1306421 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4524 (Massachusetts) | Primary |
| Provider Name | James Patrick Bresnahan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215031802 PECOS PAC ID: 6002258597 Enrollment ID: I20240529003919 |
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