| River Valley Mental Health Care Pllc | |
|
10 Prince Pl Ste 204a Newburyport MA 01950-2657 | |
| (978) 308-2372 | |
| Not Available |
| Full Name | River Valley Mental Health Care Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Prince Pl Ste 204a, Newburyport, Massachusetts |
| Authorized Official Name and Position | Susan E Martinson (OWNER) |
| Authorized Official Contact | 9783082372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Mental Health Care Pllc 151 Merrimac St Newburyport MA 01950-2325 Ph: (781) 888-2463 | River Valley Mental Health Care Pllc 10 Prince Pl Ste 204a Newburyport MA 01950-2657 Ph: (978) 308-2372 |
| NPI Number | 1366193146 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 07/11/2022 |
| Certification Date | 07/11/2022 |
| Medicare PECOS PAC ID | 8022488980 |
|---|---|
| Medicare Enrollment ID | O20230110002579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366193146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Susan Martinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306941893 PECOS PAC ID: 2860497658 Enrollment ID: I20220210000461 |
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