Medical Psychology Center, Llc - Medicare Mental Health Clinic in Beverly, MA

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Medical Psychology Center, Llc is a medicare enrolled mental health clinic (Psychologist - Group Psychotherapy) in Beverly, Massachusetts. The current practice location for Medical Psychology Center, Llc is 100 Cummings Ctr, Suite 456j, Beverly, Massachusetts. For appointments, you can reach them via phone at (978) 921-4000. The mailing address for Medical Psychology Center, Llc is 100 Cummings Ctr, Suite 456j, Beverly, Massachusetts and phone number is (978) 921-4000.

Medical Psychology Center, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104927003. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (978) 921-4000.

Contact Information

Medical Psychology Center, Llc
100 Cummings Ctr
Suite 456j
Beverly
MA 01915-6106
(978) 921-4000
(978) 921-7530

Map and Direction


Mental Health Clinic Profile

Full NameMedical Psychology Center, Llc
SpecialityPsychologist
Location100 Cummings Ctr, Beverly, Massachusetts
Authorized Official Name and PositionJonathan Inz (DIRECTOR)
Authorized Official Contact9789214000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Medical Psychology Center, Llc
100 Cummings Ctr
Suite 456j
Beverly
MA 01915-6106

Ph: (978) 921-4000		Medical Psychology Center, Llc
100 Cummings Ctr
Suite 456j
Beverly
MA 01915-6106

Ph: (978) 921-4000

NPI Details:

NPI Number1104927003
Provider Enumeration Date09/26/2006
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID1456455369
Medicare Enrollment IDO20070403000282

Medical Identifiers

Medical identifiers for Medical Psychology Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104927003NPI-NPPES
7218197OtherMAAETNA - PPO
644966OtherMATUFTS HEALTH PLAN
W10659OtherMABC BS OF MASS
311164OtherMAMANAGED HEALTH NETWORK
1135317OtherMAAETNA - HMO
2059722OtherMACIGNA BEHAVIORAL HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TP2701XPsychologist - Group Psychotherapy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medical Psychology Center, Llc acts as a billing entity for following providers:
Provider NameMark J Ternullo
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1750478194
PECOS PAC ID: 5698722544
Enrollment ID: I20050404000537
Provider NameJonathan M Inz
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1285698076
PECOS PAC ID: 1355336637
Enrollment ID: I20070410000068
Provider NameAmy L Goldberg
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922130087
PECOS PAC ID: 5890927842
Enrollment ID: I20140407001170
Provider NameSuzanne J Kuhl
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689971327
PECOS PAC ID: 1951584234
Enrollment ID: I20150320001680
Provider NameKristin M Hambridge
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073808135
PECOS PAC ID: 4385962448
Enrollment ID: I20150421002272
Provider NameMargery Walentuk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720488778
PECOS PAC ID: 5092024612
Enrollment ID: I20151022001110
Provider NameBlair Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821474578
PECOS PAC ID: 7214228808
Enrollment ID: I20160629001925
Provider NamePier A Talbot
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508283805
PECOS PAC ID: 7719260819
Enrollment ID: I20170216000254
Provider NameDeborah L. Green
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1952852154
PECOS PAC ID: 7719261957
Enrollment ID: I20170307000671
Provider NameElizabeth Hm Burns
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1124566948
PECOS PAC ID: 9931485471
Enrollment ID: I20170417001419
Provider NameTheresa A Elvidge
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700265568
PECOS PAC ID: 1153681051
Enrollment ID: I20180215000180
Provider NameAlicia L Venus
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1144603945
PECOS PAC ID: 8123381928
Enrollment ID: I20180409001745
Provider NameDavid Paul Marino
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1801391644
PECOS PAC ID: 2163786252
Enrollment ID: I20180425000909
Provider NameRyan J Griffin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801188644
PECOS PAC ID: 9234452723
Enrollment ID: I20190425000044
Provider NameJudith M Fernberg
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1730624727
PECOS PAC ID: 2668756545
Enrollment ID: I20201102001095
Provider NameAndrea Raimondi Quilty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295984722
PECOS PAC ID: 0941358576
Enrollment ID: I20210107002358
Provider NameJohn P Bernstein
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1033883822
PECOS PAC ID: 7113310152
Enrollment ID: I20220215001575
Provider NameDorothy A Fraggetta
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184225567
PECOS PAC ID: 1355708736
Enrollment ID: I20230530001473

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.