| The Mclean Hospital Corporation | |
|
115 Mill St Belmont MA 02478-1041 | |
| (617) 855-3316 | |
| (617) 855-3336 |
| Full Name | The Mclean Hospital Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 115 Mill St, Belmont, Massachusetts |
| Authorized Official Name and Position | Joseph Gold (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6178552367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mclean Hospital Corporation Po Box 415578 Boston MA 02241-5578 Ph: (617) 724-3371 | The Mclean Hospital Corporation 115 Mill St Belmont MA 02478-1041 Ph: (617) 855-3316 |
| NPI Number | 1538185475 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 03/02/2026 |
| Certification Date | 03/02/2026 |
| Medicare PECOS PAC ID | 9436040961 |
|---|---|
| Medicare Enrollment ID | O20071114000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538185475 | NPI | - | NPPES |
| 11002747A | Medicaid | MA | |
| 2222400710 | Other | MA | BC/BS |
| 2222400701 | Other | MA | BC/BS |
| 110027417C | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Olga Popova Licsw Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 68 Leonard St Ste 304, Belmont, MA 02478 Phone: 617-658-4758 | |
Justin Sean Gillis Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Mill St, Belmont, MA 02478 Phone: 617-855-2459 Fax: 617-855-3470 | |
Amanda Sedgewick, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Mill St, Belmont, MA 02478 Phone: 617-826-9792 Fax: 617-829-2095 | |
Jessica Glynn Licsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 Mill St, Belmont, MA 02478 Phone: 617-932-9057 | |
Amanda Destefano Psychotherapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 Trapelo Rd Ste 5, Belmont, MA 02478 Phone: 617-680-5724 | |
Boston Aba Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 464 Common St, #106, Belmont, MA 02478 Phone: 617-272-0212 | |
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