| Psychiatry And Family Counseling Of Worcester County, Llp | |
|
52 Cedar St Worcester MA 01609-2134 | |
| (508) 752-5191 | |
| (508) 792-1514 |
| Full Name | Psychiatry And Family Counseling Of Worcester County, Llp |
|---|---|
| Speciality | Psychologist |
| Location | 52 Cedar St, Worcester, Massachusetts |
| Authorized Official Name and Position | Keith C Levy (CO DIRECTOR) |
| Authorized Official Contact | 5087525191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry And Family Counseling Of Worcester County, Llp 52 Cedar St Worcester MA 01609-2134 Ph: (508) 752-5191 | Psychiatry And Family Counseling Of Worcester County, Llp 52 Cedar St Worcester MA 01609-2134 Ph: (508) 752-5191 |
| NPI Number | 1992850663 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 06/28/2016 |
| Medicare PECOS PAC ID | 4981626199 |
|---|---|
| Medicare Enrollment ID | O20051230000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992850663 | NPI | - | NPPES |
| M16163 W10305 | Other | MA | BCBS OF MA |
| 1004790 | Other | MA | FALLON HEALTHCARE |
| 612881 | Other | MA | TUFTS HEALTH PLAN |
| 056724000 | Other | MA | MAGELLAN BEHAVIORAL HEALT |
| 44047 | Other | MA | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Elaine S Pressman Kapperman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114005055 PECOS PAC ID: 3173425972 Enrollment ID: I20040122000825 |
| Provider Name | Janice D Palken-tervo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972686178 PECOS PAC ID: 3678590080 Enrollment ID: I20051025000888 |
| Provider Name | John P Terry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881757136 PECOS PAC ID: 2860412095 Enrollment ID: I20051201000845 |
| Provider Name | Keith Levy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205911914 PECOS PAC ID: 6002838216 Enrollment ID: I20051230000346 |
| Provider Name | Paul A Shiebler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407925290 PECOS PAC ID: 1456375799 Enrollment ID: I20060125000487 |
| Provider Name | Mary Jeffers Terry |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1881655470 PECOS PAC ID: 9830103878 Enrollment ID: I20060130000627 |
| Provider Name | James Jacobsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487822284 PECOS PAC ID: 8729156849 Enrollment ID: I20081002000391 |
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