| Neuro Behavioral Center, LLC | |
|
420 Main St Suite # 15 Walpole MA 02081-3753 | |
| (508) 660-1666 | |
| (508) 660-1667 |
| Full Name | Neuro Behavioral Center, LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 420 Main St, Walpole, Massachusetts |
| Authorized Official Name and Position | Yousef Abou-allaban (PRESIDENT) |
| Authorized Official Contact | 5086601666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro Behavioral Center, LLC 420 Main St Suite # 15 Walpole MA 02081-3753 Ph: (508) 660-1666 | Neuro Behavioral Center, LLC 420 Main St Suite # 15 Walpole MA 02081-3753 Ph: (508) 660-1666 |
| NPI Number | 1699143180 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/18/2020 |
| Certification Date | 09/18/2020 |
| Medicare PECOS PAC ID | 9032410667 |
|---|---|
| Medicare Enrollment ID | O20151223001402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699143180 | NPI | - | NPPES |
| Provider Name | Aafaque Akhter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629129382 PECOS PAC ID: 4880666163 Enrollment ID: I20040807000198 |
| Provider Name | Yousef Abou Allaban |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922040666 PECOS PAC ID: 9335129592 Enrollment ID: I20050516000743 |
| Provider Name | Maureen O Eddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760568109 PECOS PAC ID: 1951345453 Enrollment ID: I20050615000730 |
| Provider Name | Randi L Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841699980 PECOS PAC ID: 5597083006 Enrollment ID: I20150414000345 |
| Provider Name | Aliyah Banister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952845968 PECOS PAC ID: 0941577670 Enrollment ID: I20170530001417 |
| Provider Name | Elizabeth Ann Gaulin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891334496 PECOS PAC ID: 1658708730 Enrollment ID: I20200302001988 |
| Provider Name | Asma Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407990146 PECOS PAC ID: 9234547472 Enrollment ID: I20210428000432 |
| Provider Name | Meghan Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912593773 PECOS PAC ID: 7315325768 Enrollment ID: I20220526000416 |
| Provider Name | Vivens Ulysse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487332615 PECOS PAC ID: 2668827304 Enrollment ID: I20231016001827 |
| Provider Name | Amy Rose Gribauskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568144806 PECOS PAC ID: 2860862612 Enrollment ID: I20231204001795 |
| Provider Name | Zakisha a Godfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720582026 PECOS PAC ID: 6305297201 Enrollment ID: I20240104002808 |
| Provider Name | Joseph W Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831225283 PECOS PAC ID: 4587015672 Enrollment ID: I20240112003804 |
| Provider Name | Angela Tong-mulkern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740055920 PECOS PAC ID: 4587004924 Enrollment ID: I20240501003867 |
| Provider Name | Edelaine Lafondrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326859059 PECOS PAC ID: 8820513724 Enrollment ID: I20250423000679 |
| Provider Name | Michela Cerasani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972364651 PECOS PAC ID: 0244759769 Enrollment ID: I20250528000810 |
| Provider Name | Cassandra M Chery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568257384 PECOS PAC ID: 6608355896 Enrollment ID: I20260209001465 |
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Julie-anne Borrelli Lmhc LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 Main St Unit 8, Walpole, MA 02081 Phone: 508-631-5988 |
Neuro Behavioral Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Main St Ste 15, Walpole, MA 02081 Phone: 508-660-1666 Fax: 508-660-1667 |
Bconnected Counseling LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 Main St Ste 9, Walpole, MA 02081 Phone: 508-594-3231 Fax: 508-213-9012 |
KK Psychotherapy LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 West St Ste 201, Walpole, MA 02081 Phone: 774-586-5756 |
Walpole Behavioral Healthcare, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 841 Main St, Ll2, Walpole, MA 02081 Phone: 508-660-6699 Fax: 508-660-6658 |