| My Mental Health Matters Psychiatric Services Llc | |
|
400 Tradecenter Ste 5900 Woburn MA 01801-7471 | |
| (617) 468-1115 | |
| Not Available |
| Full Name | My Mental Health Matters Psychiatric Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Tradecenter Ste 5900, Woburn, Massachusetts |
| Authorized Official Name and Position | Fortunate Munhutu (OWNER) |
| Authorized Official Contact | 9784571194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Mental Health Matters Psychiatric Services Llc 400 Tradecenter Ste 5900 Woburn MA 01801-7471 Ph: (617) 468-1115 | My Mental Health Matters Psychiatric Services Llc 400 Tradecenter Ste 5900 Woburn MA 01801-7471 Ph: (617) 468-1115 |
| NPI Number | 1295444321 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Medicare PECOS PAC ID | 2961872114 |
|---|---|
| Medicare Enrollment ID | O20230104000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295444321 | NPI | - | NPPES |
| RN2307110 | Other | MA | LICENSE |
| Provider Name | Fortunate Munhutu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750961561 PECOS PAC ID: 5193001055 Enrollment ID: I20210928003054 |
| Provider Name | My Phan Ngan Neuman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447684352 PECOS PAC ID: 0648637033 Enrollment ID: I20230530002287 |
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