| Luminosity Behavioral Health Services Inc | |
|
157 Main St Brockton MA 02301-4012 | |
| (781) 344-0102 | |
| (781) 344-1635 |
| Full Name | Luminosity Behavioral Health Services Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 157 Main St, Brockton, Massachusetts |
| Authorized Official Name and Position | Karen D Allen (CEO) |
| Authorized Official Contact | 7813440102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminosity Behavioral Health Services Inc 157 Main St Brockton MA 02301-4012 Ph: (781) 344-0102 | Luminosity Behavioral Health Services Inc 157 Main St Brockton MA 02301-4012 Ph: (781) 344-0102 |
| NPI Number | 1265728521 |
|---|---|
| Provider Enumeration Date | 06/24/2011 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Medicare PECOS PAC ID | 7618137977 |
|---|---|
| Medicare Enrollment ID | O20120322000614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265728521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Massachusetts) | Primary |
| Provider Name | Paulina M Heywood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609950336 PECOS PAC ID: 6103854443 Enrollment ID: I20050728000878 |
| Provider Name | Margaret Riley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134284656 PECOS PAC ID: 6709078520 Enrollment ID: I20101011001181 |
| Provider Name | Edith S Pepper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033428495 PECOS PAC ID: 5890976559 Enrollment ID: I20110301000320 |
| Provider Name | Helen Nikitin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194847954 PECOS PAC ID: 7315194016 Enrollment ID: I20120831000521 |
| Provider Name | Chizoba Ndah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780332478 PECOS PAC ID: 9335527555 Enrollment ID: I20220531002304 |
| Provider Name | Huseyin Bayazit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801365655 PECOS PAC ID: 0446581821 Enrollment ID: I20240903000714 |
Arbour Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Shaw Rd, Brockton, MA 02301 Phone: 617-935-4872 | |
Aubrey Lieberman Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1342 Belmont St, Suite 105, Brockton, MA 02301 Phone: 508-580-3330 Fax: 508-580-8633 | |
South Bay Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
Boston Medical Center - South Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3000 | |
South Bay Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 West Chestnut Street Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
Brockton Multi Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Dmh, Brockton, MA 02302 Phone: 508-897-2000 Fax: 508-586-5117 | |
Commonwealth Of Ma, D/b/a Brockton Multi-service Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Brockton, MA 02302 Phone: 508-897-2000 |