| Waltham Behavioral Health Llc | |
|
210 Bear Hill Rd Suite 202 Waltham MA 02451-1025 | |
| (781) 966-0070 | |
| (781) 915-0755 |
| Full Name | Waltham Behavioral Health Llc |
|---|---|
| Speciality | Registered Nurse |
| Location | 210 Bear Hill Rd, Waltham, Massachusetts |
| Authorized Official Name and Position | Eleftheria Tsavoussis (OWNER) |
| Authorized Official Contact | 7819660070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waltham Behavioral Health Llc 210 Bear Hill Road Suite 202 Waltham MA 02451-1025 Ph: (781) 966-0070 | Waltham Behavioral Health Llc 210 Bear Hill Rd Suite 202 Waltham MA 02451-1025 Ph: (781) 966-0070 |
| NPI Number | 1427453000 |
|---|---|
| Provider Enumeration Date | 10/25/2014 |
| Last Update Date | 01/06/2020 |
| Certification Date | 01/06/2020 |
| Medicare PECOS PAC ID | 7315233822 |
|---|---|
| Medicare Enrollment ID | O20160909001031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427453000 | NPI | - | NPPES |
| Provider Name | Suzanne Brennan-nathan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659441319 PECOS PAC ID: 2769396340 Enrollment ID: I20031118000279 |
| Provider Name | Susan Korber |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1285707067 PECOS PAC ID: 9133116510 Enrollment ID: I20040428000218 |
| Provider Name | Louisa E Martin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669439337 PECOS PAC ID: 8921051541 Enrollment ID: I20050223000733 |
| Provider Name | Mary Barbato |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1750313185 PECOS PAC ID: 4587693148 Enrollment ID: I20050804000677 |
| Provider Name | Roselle Mann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245265446 PECOS PAC ID: 9133149628 Enrollment ID: I20051129000732 |
| Provider Name | Linda A Simon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326026741 PECOS PAC ID: 1456459403 Enrollment ID: I20070614000394 |
| Provider Name | Christopher Joseph Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316080195 PECOS PAC ID: 1052578382 Enrollment ID: I20120130000130 |
| Provider Name | Margaret S Vanbael |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124387923 PECOS PAC ID: 2769647973 Enrollment ID: I20120712000659 |
| Provider Name | Christine Aposhian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194709345 PECOS PAC ID: 3173595279 Enrollment ID: I20150319001094 |
| Provider Name | Marylouise Demick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538524848 PECOS PAC ID: 6002112521 Enrollment ID: I20160309002591 |
| Provider Name | Eleftheria Tsavoussis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821073586 PECOS PAC ID: 7012945595 Enrollment ID: I20160909001224 |
| Provider Name | Karen D Kronenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073758223 PECOS PAC ID: 1658648563 Enrollment ID: I20170525000166 |
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