| Steadfast Behavioral Health Inc | |
|
293 Washington St Norwell MA 02061-1781 | |
| (561) 400-9546 | |
| Not Available |
| Full Name | Steadfast Behavioral Health Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 293 Washington St, Norwell, Massachusetts |
| Authorized Official Name and Position | Mark Macaluso (CO FOUNDER) |
| Authorized Official Contact | 5614009546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steadfast Behavioral Health Inc 293 Washington St Norwell MA 02061-1781 Ph: () - | Steadfast Behavioral Health Inc 293 Washington St Norwell MA 02061-1781 Ph: (561) 400-9546 |
| NPI Number | 1831707231 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 01/05/2021 |
| Certification Date | 01/05/2021 |
| Medicare PECOS PAC ID | 5294141099 |
|---|---|
| Medicare Enrollment ID | O20210526001606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831707231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Nancy M Perroni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306025705 PECOS PAC ID: 3870676000 Enrollment ID: I20080212000263 |
| Provider Name | Edward R Glennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396096053 PECOS PAC ID: 5991940322 Enrollment ID: I20130405000358 |
| Provider Name | Amy Elizabeth Yentsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922556117 PECOS PAC ID: 9830470210 Enrollment ID: I20161222001050 |
| Provider Name | Steven Wayne Powell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477649168 PECOS PAC ID: 9739273533 Enrollment ID: I20181017002201 |
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