| Wayside Youth & Family Support Network | |
|
80 Lincoln Street Framingham MA 01702 | |
| (508) 620-0010 | |
| (508) 626-7625 |
| Full Name | Wayside Youth & Family Support Network |
|---|---|
| Speciality | Counselor |
| Location | 80 Lincoln Street, Framingham, Massachusetts |
| Authorized Official Name and Position | Eric L Masi (PRESIDENT/CEO) |
| Authorized Official Contact | 5088799800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayside Youth & Family Support Network 1 Frederick Abbott Way Framingham MA 01702 Ph: (508) 879-9800 | Wayside Youth & Family Support Network 80 Lincoln Street Framingham MA 01702 Ph: (508) 620-0010 |
| NPI Number | 1851484505 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 06/18/2009 |
| Medicare PECOS PAC ID | 9436062114 |
|---|---|
| Medicare Enrollment ID | O20040322001101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851484505 | NPI | - | NPPES |
| 1311859 | Medicaid | MA | |
| 1311786 | Medicaid | MA | |
| 1311824 | Medicaid | MA | |
| 1311832 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4388 (Massachusetts) | Primary |
| Provider Name | Martyna Rusinowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831670389 PECOS PAC ID: 9032448428 Enrollment ID: I20190910003016 |
Anya Bernstein Md, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 650 Worcester Rd Ste 102, Framingham, MA 01702 Phone: 781-474-3781 | |
Charasmatic Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 Concord St, Framingham, MA 01701 Phone: 774-462-8775 | |
Green Hill Counseling, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 945 Concord St, Framingham, MA 01701 Phone: 860-806-2527 | |
Mom Over Matter Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 Concord St, Framingham, MA 01701 Phone: 508-954-4894 | |
Rob Mason Psychological Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Worcester Rd Ste 501, Framingham, MA 01702 Phone: 508-936-3960 | |
Gateway Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Edgell Rd, Suite 24, Framingham, MA 01701 Phone: 508-879-7908 Fax: 508-879-1515 | |
Wayside Youth & Family Support Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 88 Lincoln St, Framingham, MA 01702 Phone: 508-620-0010 |