| Psychmatrix For Child & Adolescent Psychiatry, Llc | |
|
35 Post Office Park Ste 3505 Wilbraham MA 01095-1186 | |
| (413) 596-4601 | |
| (413) 596-4609 |
| Full Name | Psychmatrix For Child & Adolescent Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 35 Post Office Park Ste 3505, Wilbraham, Massachusetts |
| Authorized Official Name and Position | Susan Cary (OWNER) |
| Authorized Official Contact | 4135964601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychmatrix For Child & Adolescent Psychiatry, Llc 12 Ruth Dr Wilbraham MA 01095-2610 Ph: (413) 596-4601 | Psychmatrix For Child & Adolescent Psychiatry, Llc 35 Post Office Park Ste 3505 Wilbraham MA 01095-1186 Ph: (413) 596-4601 |
| NPI Number | 1124227905 |
|---|---|
| Provider Enumeration Date | 07/12/2007 |
| Last Update Date | 07/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124227905 | NPI | - | NPPES |
| 3078540 | Medicaid | MA | |
| 586023 | Other | MA | TUFTS |
| M18872 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 73294 (Massachusetts) | Primary |
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