| Psychiatry And Primary Care | |
|
103 Fern St Springfield MA 01108-2957 | |
| (617) 356-7971 | |
| Not Available |
| Full Name | Psychiatry And Primary Care |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 103 Fern St, Springfield, Massachusetts |
| Authorized Official Name and Position | Kelvin N Karanja (CO-OWNER) |
| Authorized Official Contact | 6173567971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry And Primary Care 15 Benton Dr Ste 10 East Longmeadow MA 01028-3232 Ph: (617) 356-7971 | Psychiatry And Primary Care 103 Fern St Springfield MA 01108-2957 Ph: (617) 356-7971 |
| NPI Number | 1053174235 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053174235 | NPI | - | NPPES |
| 110187099A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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