| Omni Psychotherapy Associates Llc | |
|
714 Main St Unit 714-c Yarmouth Port MA 02675-2000 | |
| (617) 869-3740 | |
| (833) 281-6727 |
| Full Name | Omni Psychotherapy Associates Llc |
|---|---|
| Speciality | Social Worker |
| Location | 714 Main St Unit 714-c, Yarmouth Port, Massachusetts |
| Authorized Official Name and Position | Leslie Baker (OWNER) |
| Authorized Official Contact | 6178693740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Psychotherapy Associates Llc 714 Main St Unit 714-c Yarmouth Port MA 02675-2000 Ph: (617) 869-3740 | Omni Psychotherapy Associates Llc 714 Main St Unit 714-c Yarmouth Port MA 02675-2000 Ph: (617) 869-3740 |
| NPI Number | 1558908830 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 01/14/2020 |
| Certification Date | 01/14/2020 |
| Medicare PECOS PAC ID | 0840625885 |
|---|---|
| Medicare Enrollment ID | O20200121001096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558908830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Leslie Ann Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164742045 PECOS PAC ID: 9032433727 Enrollment ID: I20150129001211 |
| Provider Name | Kelsey Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598894529 PECOS PAC ID: 0446566269 Enrollment ID: I20150825002865 |
Gary Forrister M.d. P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 923 Route 6a Ste W, Yarmouth Port, MA 02675 Phone: 774-994-8376 Fax: 774-994-8642 | |
Steven David Ph.d. & Associates, A Professional Psychology Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 143 Route 6a, Yarmouth Port, MA 02675 Phone: 323-401-0493 | |
Meredith Reilly, Lmhc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Route 6a # 3, Yarmouth Port, MA 02675 Phone: 774-722-9372 Fax: 508-362-0369 | |
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Melissa Hyer-mitchell Psychotherapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 Route 6a Unit 714-c, Yarmouth Port, MA 02675 Phone: 508-492-8647 Fax: 508-433-1871 |