| Main Street Mental Health, Pllc | |
|
11 Canal St Meredith NH 03253-5902 | |
| (603) 738-2445 | |
| Not Available |
| Full Name | Main Street Mental Health, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 11 Canal St, Meredith, New Hampshire |
| Authorized Official Name and Position | Joan St Jean (OWNER) |
| Authorized Official Contact | 6037382445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Mental Health, Pllc Po Box 535 Meredith NH 03253-0535 Ph: (603) 738-2445 | Main Street Mental Health, Pllc 11 Canal St Meredith NH 03253-5902 Ph: (603) 738-2445 |
| NPI Number | 1225216625 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 12/08/2022 |
| Certification Date | 12/08/2022 |
| Medicare PECOS PAC ID | 7911071014 |
|---|---|
| Medicare Enrollment ID | O20080807000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225216625 | NPI | - | NPPES |
| 50Y011206NH01 | Other | NH | ANTHEM |
| 2152562 | Other | CIGNA | |
| 3072631 | Medicaid | NH |
| Provider Name | Joan M St Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962564419 PECOS PAC ID: 3779597232 Enrollment ID: I20060203000502 |
Statera Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Route 104 Unit 4-38, Meredith, NH 03253 Phone: 603-393-3233 | |
Core Attachment Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 Daniel Webster Hwy, Meredith, NH 03253 Phone: 603-279-8169 Fax: 603-279-8169 |