| The Psych Garden Llc | |
|
25 Flanders Road Belmont MA 02478 | |
| (857) 598-2808 | |
| (857) 598-2864 |
| Full Name | The Psych Garden Llc |
|---|---|
| Speciality | Psychologist |
| Location | 25 Flanders Road, Belmont, Massachusetts |
| Authorized Official Name and Position | Mark Green (OWNER) |
| Authorized Official Contact | 8575982808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Psych Garden Llc 25 Flanders Road Belmont MA 02478 Ph: (857) 598-2808 | The Psych Garden Llc 25 Flanders Road Belmont MA 02478 Ph: (857) 598-2808 |
| NPI Number | 1922578855 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 03/03/2020 |
| Certification Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922578855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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