| Supportive Behavioral Care Of Ma Llc | |
|
44 School St Suite 325 Boston MA 02108-4201 | |
| (718) 298-4375 | |
| Not Available |
| Full Name | Supportive Behavioral Care Of Ma Llc |
|---|---|
| Speciality | Psychologist |
| Location | 44 School St, Boston, Massachusetts |
| Authorized Official Name and Position | Raphael Lichtschein (PRESIDENT) |
| Authorized Official Contact | 7182984375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Behavioral Care Of Ma Llc 14 Shemen St Lakewood NJ 08701-3662 Ph: () - | Supportive Behavioral Care Of Ma Llc 44 School St Suite 325 Boston MA 02108-4201 Ph: (718) 298-4375 |
| NPI Number | 1780115519 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 03/23/2017 |
| Medicare PECOS PAC ID | 8628346731 |
|---|---|
| Medicare Enrollment ID | O20170614000877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780115519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah S Cole |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336168715 PECOS PAC ID: 8426028366 Enrollment ID: I20040728001333 |
| Provider Name | Peter W Parsons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194875757 PECOS PAC ID: 6608847694 Enrollment ID: I20040803001531 |
| Provider Name | John Mark Carper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730220039 PECOS PAC ID: 9032174339 Enrollment ID: I20041129000597 |
| Provider Name | Eleanor Tedesco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700930914 PECOS PAC ID: 9638119308 Enrollment ID: I20050512000212 |
| Provider Name | Sandra H Haas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780705293 PECOS PAC ID: 5193756906 Enrollment ID: I20050822000890 |
| Provider Name | Shahdokht Reeder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962507798 PECOS PAC ID: 7214969161 Enrollment ID: I20050831000584 |
| Provider Name | Susanne T Duszlak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811961477 PECOS PAC ID: 1557382397 Enrollment ID: I20051208000592 |
| Provider Name | Christine M Dutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700939188 PECOS PAC ID: 1557362746 Enrollment ID: I20070131000415 |
| Provider Name | Colette M Tefft |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942220157 PECOS PAC ID: 8820162738 Enrollment ID: I20080811000197 |
| Provider Name | Andrew Seth Rosenzweig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942203690 PECOS PAC ID: 9234043134 Enrollment ID: I20090217000533 |
| Provider Name | Jill Roffman Levine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952566002 PECOS PAC ID: 5496894396 Enrollment ID: I20091207000392 |
| Provider Name | Sonya D Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518003748 PECOS PAC ID: 6103019245 Enrollment ID: I20101020001570 |
| Provider Name | Robert A Page |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659391811 PECOS PAC ID: 1456525898 Enrollment ID: I20111121000261 |
| Provider Name | Joy E O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841185 PECOS PAC ID: 9436324712 Enrollment ID: I20111215000191 |
| Provider Name | Sheree Estes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316930142 PECOS PAC ID: 4183891757 Enrollment ID: I20120123000356 |
| Provider Name | Brandy L Meunier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508153248 PECOS PAC ID: 4486814506 Enrollment ID: I20120328000255 |
| Provider Name | Marielle Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518215490 PECOS PAC ID: 0840441879 Enrollment ID: I20121121000234 |
| Provider Name | Pamela J Whitlock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205170503 PECOS PAC ID: 8022263904 Enrollment ID: I20130226000199 |
| Provider Name | Alexandra Vilmenay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447579941 PECOS PAC ID: 7214167436 Enrollment ID: I20140307000426 |
| Provider Name | Djwan M Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821336652 PECOS PAC ID: 5092948018 Enrollment ID: I20140428002056 |
| Provider Name | Season V Dasilva |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609276013 PECOS PAC ID: 3072734565 Enrollment ID: I20141027001578 |
| Provider Name | Amanda M. Raposo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902156623 PECOS PAC ID: 0941510820 Enrollment ID: I20151112001180 |
| Provider Name | Sarah Bione-dunn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356579395 PECOS PAC ID: 9032438171 Enrollment ID: I20170614001074 |
| Provider Name | Helen Ruth Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336630797 PECOS PAC ID: 4082960828 Enrollment ID: I20180723002986 |
| Provider Name | Corrine Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255880175 PECOS PAC ID: 7810245412 Enrollment ID: I20180730000930 |
| Provider Name | Kevin Cobb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427256437 PECOS PAC ID: 5890033559 Enrollment ID: I20190205003044 |
| Provider Name | Setha Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962972570 PECOS PAC ID: 1254667942 Enrollment ID: I20190802000547 |
| Provider Name | Sunders Dorcely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104333962 PECOS PAC ID: 1850639006 Enrollment ID: I20190927000025 |
| Provider Name | Niccole Lambert-talhaoui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578113858 PECOS PAC ID: 5890127039 Enrollment ID: I20191108002871 |
| Provider Name | Betty Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619119799 PECOS PAC ID: 8628407186 Enrollment ID: I20200403001152 |
| Provider Name | Carla Luna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669964011 PECOS PAC ID: 0840610507 Enrollment ID: I20201019001119 |
| Provider Name | Christiana Egwim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245535004 PECOS PAC ID: 3870913262 Enrollment ID: I20201023002735 |
| Provider Name | Jorge Aguilar Zanatta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477704971 PECOS PAC ID: 9335396969 Enrollment ID: I20201028000023 |
| Provider Name | Melissa M Masse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851625271 PECOS PAC ID: 5496880312 Enrollment ID: I20201028000057 |
| Provider Name | Osman Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942408265 PECOS PAC ID: 4082774286 Enrollment ID: I20201028000129 |
| Provider Name | Vanessa Marie Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609125350 PECOS PAC ID: 3072924885 Enrollment ID: I20201201000326 |
| Provider Name | Jennifer C Chen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144832825 PECOS PAC ID: 2567875867 Enrollment ID: I20210105002810 |
| Provider Name | Andrew Wenstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194332577 PECOS PAC ID: 0143633446 Enrollment ID: I20210105003152 |
| Provider Name | Maria Magdalena Sanchez-spitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407982804 PECOS PAC ID: 5092818815 Enrollment ID: I20210106002268 |
| Provider Name | Rachel M Salerno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114235751 PECOS PAC ID: 0941215107 Enrollment ID: I20210107001426 |
| Provider Name | Samuel A Wolde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275173536 PECOS PAC ID: 9739503426 Enrollment ID: I20210107001572 |
| Provider Name | Shushanik Yegoyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528671385 PECOS PAC ID: 3577979954 Enrollment ID: I20210309003097 |
| Provider Name | Katrin Weir |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154451177 PECOS PAC ID: 3476969106 Enrollment ID: I20210330000591 |
| Provider Name | Jacqueline Levesque |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992389670 PECOS PAC ID: 8628478351 Enrollment ID: I20210616002677 |
| Provider Name | Thais Bitencourt Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003459645 PECOS PAC ID: 7618379819 Enrollment ID: I20210712000139 |
| Provider Name | Toni Parolisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306300850 PECOS PAC ID: 3476961509 Enrollment ID: I20210720001774 |
| Provider Name | Mark Lawrence Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760743785 PECOS PAC ID: 9335545045 Enrollment ID: I20210903002167 |
| Provider Name | Marie Eustache |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457922908 PECOS PAC ID: 8729485123 Enrollment ID: I20210928002640 |
| Provider Name | Jamie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326521873 PECOS PAC ID: 1456602127 Enrollment ID: I20211110001989 |
| Provider Name | Cassandra Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740718618 PECOS PAC ID: 9436422508 Enrollment ID: I20211110002136 |
| Provider Name | Jude Gamanuel Adolphe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700550217 PECOS PAC ID: 1254721673 Enrollment ID: I20211129001730 |
| Provider Name | Polina Kotoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558932269 PECOS PAC ID: 4688064918 Enrollment ID: I20211201000291 |
| Provider Name | April Lyn Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346749702 PECOS PAC ID: 3577953744 Enrollment ID: I20211201002656 |
| Provider Name | Enel Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508536723 PECOS PAC ID: 6204143803 Enrollment ID: I20211202002676 |
| Provider Name | Arealus Pough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922564368 PECOS PAC ID: 1456742162 Enrollment ID: I20220106000486 |
| Provider Name | Raven Adair Omuemu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720741812 PECOS PAC ID: 4082005764 Enrollment ID: I20220107000850 |
| Provider Name | Deborah S Guidetti Gerwien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821420563 PECOS PAC ID: 3173751492 Enrollment ID: I20220114001075 |
| Provider Name | Stefanie Rita Acierno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538755947 PECOS PAC ID: 6901299411 Enrollment ID: I20220204001983 |
| Provider Name | Shelley Bair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073107561 PECOS PAC ID: 7618361205 Enrollment ID: I20220224001355 |
| Provider Name | Amarachi J Kalu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558970301 PECOS PAC ID: 2668867979 Enrollment ID: I20220324000534 |
| Provider Name | Chizoba Ndah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780332478 PECOS PAC ID: 9335527555 Enrollment ID: I20220531002304 |
| Provider Name | Richard E James |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750325262 PECOS PAC ID: 7517979974 Enrollment ID: I20220725002926 |
| Provider Name | Bobbie-jo M. Johnstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134666175 PECOS PAC ID: 1557645587 Enrollment ID: I20220725003023 |
| Provider Name | Dawn Lidstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922403542 PECOS PAC ID: 1456678424 Enrollment ID: I20220809003670 |
| Provider Name | Jhanev Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710404330 PECOS PAC ID: 7517341498 Enrollment ID: I20220830001478 |
| Provider Name | Nicole Sauve |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770981243 PECOS PAC ID: 6800263435 Enrollment ID: I20221110000855 |
| Provider Name | Cynthia Ann Kenney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043572571 PECOS PAC ID: 9830567353 Enrollment ID: I20221116001279 |
| Provider Name | David M Abrams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093982167 PECOS PAC ID: 8820163074 Enrollment ID: I20221121000902 |
| Provider Name | Nancy Key |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760092993 PECOS PAC ID: 9931200789 Enrollment ID: I20221121001016 |
| Provider Name | Zachary Stern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609494749 PECOS PAC ID: 1153744198 Enrollment ID: I20221121001138 |
| Provider Name | Leah Cartmell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265910962 PECOS PAC ID: 6800265349 Enrollment ID: I20221206001060 |
| Provider Name | Esi Korsah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679136436 PECOS PAC ID: 7618346164 Enrollment ID: I20221206001529 |
| Provider Name | Emelda N Iwobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538895016 PECOS PAC ID: 8022487826 Enrollment ID: I20221219001316 |
| Provider Name | Exta Tweneboa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427766492 PECOS PAC ID: 6103295878 Enrollment ID: I20221220001452 |
| Provider Name | Kennedy Tambi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932707445 PECOS PAC ID: 5991175465 Enrollment ID: I20221227000269 |
| Provider Name | Rutendo F Moyo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992175624 PECOS PAC ID: 5496125619 Enrollment ID: I20230105000172 |
| Provider Name | Aminatu Kasali-adeyemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821572702 PECOS PAC ID: 0143692053 Enrollment ID: I20230202000167 |
| Provider Name | Tonya Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184091639 PECOS PAC ID: 5597073973 Enrollment ID: I20230209001815 |
| Provider Name | Robert Terrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265198113 PECOS PAC ID: 5092187591 Enrollment ID: I20230209001998 |
| Provider Name | Keisha Clayton-fearon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891240776 PECOS PAC ID: 7517205446 Enrollment ID: I20230220002201 |
| Provider Name | Eva Torres Maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164881736 PECOS PAC ID: 9032491022 Enrollment ID: I20230220002310 |
| Provider Name | Christopher William Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548831274 PECOS PAC ID: 5991178725 Enrollment ID: I20230227001326 |
| Provider Name | Suzanne Lynne Macaluso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821467259 PECOS PAC ID: 3375916109 Enrollment ID: I20230227001658 |
| Provider Name | Mispa Shurri Sango |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811613615 PECOS PAC ID: 9931564291 Enrollment ID: I20230420002682 |
| Provider Name | Marliese Vogel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881868313 PECOS PAC ID: 1557336864 Enrollment ID: I20230421001415 |
| Provider Name | Anthony Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144936048 PECOS PAC ID: 4587020664 Enrollment ID: I20230516000295 |
| Provider Name | Kristen Deasy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922528751 PECOS PAC ID: 4385001775 Enrollment ID: I20230530002258 |
| Provider Name | Ijeoma Onwuogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356042204 PECOS PAC ID: 0840519138 Enrollment ID: I20230606002818 |
| Provider Name | Adaeze Nwanegbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578258810 PECOS PAC ID: 2961860168 Enrollment ID: I20230621000410 |
| Provider Name | Chloe Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710610548 PECOS PAC ID: 5890157010 Enrollment ID: I20230818002066 |
| Provider Name | Patricia N Ngaruiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548593288 PECOS PAC ID: 3971966847 Enrollment ID: I20230824002302 |
| Provider Name | Anne Daly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295362135 PECOS PAC ID: 5294199873 Enrollment ID: I20230914003724 |
| Provider Name | Miriam Lopes Nakasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093492647 PECOS PAC ID: 5890149421 Enrollment ID: I20230929001768 |
| Provider Name | Eva Namakula Mutto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306119854 PECOS PAC ID: 9335593706 Enrollment ID: I20231004000928 |
| Provider Name | Georgina A Tung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104481266 PECOS PAC ID: 5395190755 Enrollment ID: I20231005000687 |
| Provider Name | Joseph Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801596713 PECOS PAC ID: 0042671653 Enrollment ID: I20231005001816 |
| Provider Name | Dorcas Oyebisi Adeniyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407545700 PECOS PAC ID: 8224483508 Enrollment ID: I20231005002113 |
| Provider Name | Divine C Ezewuzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831437011 PECOS PAC ID: 5294180576 Enrollment ID: I20231005002305 |
| Provider Name | Faith Anne Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982826012 PECOS PAC ID: 9436504206 Enrollment ID: I20231013002184 |
| Provider Name | Chinyere Vivian Nwanesidu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922887173 PECOS PAC ID: 2264888163 Enrollment ID: I20231030001435 |
| Provider Name | Ivana Machado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043992456 PECOS PAC ID: 0244687580 Enrollment ID: I20231108002706 |
| Provider Name | Susan Nderitu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528745296 PECOS PAC ID: 2365899333 Enrollment ID: I20231113002474 |
| Provider Name | Juliet N Marimira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174228159 PECOS PAC ID: 9830546548 Enrollment ID: I20231116002544 |
| Provider Name | Cynthia J Agudosi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104605310 PECOS PAC ID: 2163871898 Enrollment ID: I20231206004389 |
| Provider Name | Susan Nardella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194161398 PECOS PAC ID: 4082855275 Enrollment ID: I20231211003357 |
| Provider Name | Christiana Nsoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922870757 PECOS PAC ID: 9537519368 Enrollment ID: I20231220002561 |
| Provider Name | Leonora O'farrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821534181 PECOS PAC ID: 9335599851 Enrollment ID: I20231226001704 |
| Provider Name | Trottjoseph Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497197156 PECOS PAC ID: 9234580143 Enrollment ID: I20240104003051 |
| Provider Name | Temitope Obasekola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518667617 PECOS PAC ID: 9436502218 Enrollment ID: I20240129000891 |
| Provider Name | Charlene A Sama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720853849 PECOS PAC ID: 3779926068 Enrollment ID: I20240202002503 |
| Provider Name | Grace Nassanga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750087326 PECOS PAC ID: 5193168094 Enrollment ID: I20240207003738 |
| Provider Name | Yvonne Rufaro Moyo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962670794 PECOS PAC ID: 6800230822 Enrollment ID: I20240219000852 |
The Collaborative Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Arlington St Ste 500, Boston, MA 02116 Phone: 617-651-1101 | |
Meditelecare Of Massachusetts, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 84 State St, Boston, MA 02109 Phone: 860-788-6404 Fax: 860-829-0495 | |
Ahead Massachusetts Medical Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Liberty Sq # 2523, Boston, MA 02109 Phone: 855-306-7786 Fax: 415-367-3629 | |
Harvard Vanguard Medical Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Brookline Ave, Boston, MA 02215 Phone: 617-421-1000 Fax: 617-421-1191 | |
Dr. Laura Fasciano Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Arch St Fl 8, Boston, MA 02110 Phone: 203-530-6979 | |
David Buckley Pmhnp Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Boylston St Ste 191l, Boston, MA 02116 Phone: 617-302-7102 | |
The Wellbeing Umbrella, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Devonshire St Ste 902, Boston, MA 02110 Phone: 617-383-7010 |