| Sturbridge Human Services, Inc | |
|
450 Main St Fiskdale MA 01518-1296 | |
| (508) 347-7755 | |
| Not Available |
| Full Name | Sturbridge Human Services, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 450 Main St, Fiskdale, Massachusetts |
| Authorized Official Name and Position | Rocco Marino (PRESIDENT) |
| Authorized Official Contact | 5083477755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sturbridge Human Services, Inc Po Box 740 Sturbridge MA 01566-0740 Ph: (508) 347-7755 | Sturbridge Human Services, Inc 450 Main St Fiskdale MA 01518-1296 Ph: (508) 347-7755 |
| NPI Number | 1457746711 |
|---|---|
| Provider Enumeration Date | 04/03/2015 |
| Last Update Date | 04/03/2015 |
| Medicare PECOS PAC ID | 1951613876 |
|---|---|
| Medicare Enrollment ID | O20150707001936 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457746711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sheila A Botti |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184725871 PECOS PAC ID: 9638060411 Enrollment ID: I20040322001313 |
| Provider Name | Rocco A Marino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558462549 PECOS PAC ID: 3971665597 Enrollment ID: I20081216000384 |
Gemini Mental Health Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Arnold Rd, Fiskdale, MA 01518 Phone: 508-414-8382 | |
Cognitive Connections Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 559 Main St Ste 303a, Fiskdale, MA 01518 Phone: 508-347-7787 Fax: 508-347-7347 | |
Slmd, Inc. Dba Counseling Connections Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Main St, First Floor, Fiskdale, MA 01518 Phone: 774-272-5671 Fax: 774-568-5614 |