| Metis Psychological Associates | |
|
490 N Main St Suite 2 Randolph MA 02368-3741 | |
| (781) 963-1200 | |
| (781) 963-1201 |
| Full Name | Metis Psychological Associates |
|---|---|
| Speciality | Psychologist |
| Location | 490 N Main St, Randolph, Massachusetts |
| Authorized Official Name and Position | Ebi D Okara (FOUNDER) |
| Authorized Official Contact | 7819631200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metis Psychological Associates 490 North Main Street Suite 2 Randolph MA 02368-3741 Ph: (781) 963-1200 | Metis Psychological Associates 490 N Main St Suite 2 Randolph MA 02368-3741 Ph: (781) 963-1200 |
| NPI Number | 1912131061 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 02/17/2012 |
| Medicare PECOS PAC ID | 9335295682 |
|---|---|
| Medicare Enrollment ID | O20090929000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912131061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Massachusetts) | Primary |
| Provider Name | Priscilla I Nwachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982872651 PECOS PAC ID: 6204885684 Enrollment ID: I20050113000202 |
| Provider Name | Ebi D Okara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467686915 PECOS PAC ID: 0042260192 Enrollment ID: I20050126000536 |
| Provider Name | James T Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780865337 PECOS PAC ID: 7416039300 Enrollment ID: I20080131000146 |
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