| M. Gorman Psychological Associates Inc | |
|
One Wells Ave Fourth Floor Newton MA 02459 | |
| (617) 327-6777 | |
| (617) 323-6969 |
| Full Name | M. Gorman Psychological Associates Inc |
|---|---|
| Speciality | Psychologist |
| Location | One Wells Ave, Newton, Massachusetts |
| Authorized Official Name and Position | Kelly Casey (EXECUTIVE DIRECTOR, BRENNER ASSESSM) |
| Authorized Official Contact | 6173276777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Gorman Psychological Associates Inc One Wells Ave Fourth Floor Newton MA 02459 Ph: (617) 327-6777 | M. Gorman Psychological Associates Inc One Wells Ave Fourth Floor Newton MA 02459 Ph: (617) 327-6777 |
| NPI Number | 1710056486 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 09/26/2023 |
| Medicare PECOS PAC ID | 0941235964 |
|---|---|
| Medicare Enrollment ID | O20050928001119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710056486 | NPI | - | NPPES |
| 9762761 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Massachusetts) | Primary |
| Provider Name | Samuel J Moncata |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447326657 PECOS PAC ID: 7618902636 Enrollment ID: I20050928001191 |
| Provider Name | Erin Grace Kitchener |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194365312 PECOS PAC ID: 9335579929 Enrollment ID: I20200422002499 |
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