| North Charles, Inc. | |
|
54 Washburn Ave Cambridge MA 02140-1128 | |
| (617) 864-0941 | |
| (617) 876-9760 |
| Full Name | North Charles, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 54 Washburn Ave, Cambridge, Massachusetts |
| Authorized Official Name and Position | Gary R Houle (CEO) |
| Authorized Official Contact | 6178640941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Charles, Inc. 54 Washburn Ave Cambridge MA 02140-1128 Ph: (617) 864-0941 | North Charles, Inc. 54 Washburn Ave Cambridge MA 02140-1128 Ph: (617) 864-0941 |
| NPI Number | 1356411862 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 01/24/2020 |
| Certification Date | 01/24/2020 |
| Medicare PECOS PAC ID | 7416919048 |
|---|---|
| Medicare Enrollment ID | O20041027000380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356411862 | NPI | - | NPPES |
| 37052 | Other | MA | BOSTON HEALTHNET |
| NHC222300091 40 | Other | MA | BLUE CROSS BLUE SHIELD |
| 119333300 | Other | MA | DEPT LABOR OWCP |
| NHC222300091 41 | Other | MA | BLUE CROSS BLUE SHIELD |
| NHC222300091 42 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1303902 | Medicaid | MA | |
| 99420501 | Medicaid | MA | |
| 1005250 | Medicaid | MA | |
| 1303929 | Medicaid | MA | |
| 222301740 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1306405 | Medicaid | MA |
| Provider Name | Daphne Rulf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740377571 PECOS PAC ID: 2466421664 Enrollment ID: I20040924000790 |
| Provider Name | Peter M Brigham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821184144 PECOS PAC ID: 2062477292 Enrollment ID: I20041130000094 |
| Provider Name | Smita K Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619913894 PECOS PAC ID: 4183668932 Enrollment ID: I20050616000182 |
| Provider Name | Jennifer M Brill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285715276 PECOS PAC ID: 7113956467 Enrollment ID: I20050808000647 |
| Provider Name | Patricia L Maher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982820775 PECOS PAC ID: 5193745503 Enrollment ID: I20051130000658 |
| Provider Name | Robert Dello Russo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609867670 PECOS PAC ID: 8729093307 Enrollment ID: I20060220000002 |
| Provider Name | Amy L Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609961085 PECOS PAC ID: 7810093291 Enrollment ID: I20070501000371 |
| Provider Name | Jessica E Zieky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679723639 PECOS PAC ID: 4284758772 Enrollment ID: I20100907000406 |
| Provider Name | Margaret Latawiec |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992876361 PECOS PAC ID: 0446375398 Enrollment ID: I20100915000480 |
| Provider Name | Julia Trumble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649418898 PECOS PAC ID: 0840482006 Enrollment ID: I20101006000255 |
| Provider Name | Deborah J Woodford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013003011 PECOS PAC ID: 7113191800 Enrollment ID: I20111115000218 |
| Provider Name | Benjamin Weiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316179450 PECOS PAC ID: 9931351244 Enrollment ID: I20121213000363 |
| Provider Name | Luis Sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669516357 PECOS PAC ID: 6406161413 Enrollment ID: I20180307000896 |
Center For Family Connection Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Cambridge St, Cambridge, MA 02141 Phone: 617-547-0909 Fax: 617-497-5952 | |
Nora Ilniczky, Ph.d., Psychotherapy And Wellbeing, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1158 Massachusetts Ave, Suite #307, Cambridge, MA 02138 Phone: 617-894-0055 | |
Harvard University Health Services Behavioral Health Dept Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Mount Auburn St, Harvard University Health Services, Cambridge, MA 02138 Phone: 617-495-2323 Fax: 617-495-2327 | |
Highland Psychological Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 875 Massachusetts Ave, Suite 71, Cambridge, MA 02139 Phone: 857-600-0875 | |
Dr Kerrie Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Hawthorne Park, Cambridge, MA 02138 Phone: 617-372-5653 | |
Nancy Villa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Concord Tpke, Cambridge, MA 02140 Phone: 978-729-0962 | |
Integrated Assessment Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1753 Massachusetts Ave, Cambridge, MA 02140 Phone: 617-661-1100 Fax: 617-661-1101 |