| Pioneer Valley Mental Health, Pllc | |
| 
					120 Green Manor Rd Enfield CT 06082-4115  | |
| (413) 388-9074 | |
| Not Available | 
| Full Name | Pioneer Valley Mental Health, Pllc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 120 Green Manor Rd, Enfield, Connecticut | 
| Authorized Official Name and Position | Richard F Cookish (MEMBER/OWNER) | 
| Authorized Official Contact | 4133889074 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pioneer Valley Mental Health, Pllc 68 Harrison Ave Ste 605 Num486928 Boston MA 02111-1929 Ph: (413) 388-9074  | Pioneer Valley Mental Health, Pllc 120 Green Manor Rd Enfield CT 06082-4115 Ph: (413) 388-9074  | 
| NPI Number | 1104683549 | 
|---|---|
| Provider Enumeration Date | 03/04/2024 | 
| Last Update Date | 03/04/2024 | 
| Certification Date | 03/02/2024 | 
| Medicare PECOS PAC ID | 8022553346 | 
|---|---|
| Medicare Enrollment ID | O20240711000663 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104683549 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary | 
| Provider Name | Richard F Cookish | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1316525819 PECOS PAC ID: 2961845847 Enrollment ID: I20240207003146  | 
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