| Western Massachusetts Psychological Services, Llc | |
|
48 N Pleasant St Ste 201 Amherst MA 01002-1758 | |
| (413) 252-8832 | |
| Not Available |
| Full Name | Western Massachusetts Psychological Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 48 N Pleasant St Ste 201, Amherst, Massachusetts |
| Authorized Official Name and Position | Stephen Paul Brevik (PSYCHOLOGIST) |
| Authorized Official Contact | 4132528832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Massachusetts Psychological Services, Llc 48 N Pleasant St Ste 201 Amherst MA 01002-1758 Ph: (413) 252-8832 | Western Massachusetts Psychological Services, Llc 48 N Pleasant St Ste 201 Amherst MA 01002-1758 Ph: (413) 252-8832 |
| NPI Number | 1033990585 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Medicare PECOS PAC ID | 2668821976 |
|---|---|
| Medicare Enrollment ID | O20231212003163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033990585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Stephen P Brevik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982016937 PECOS PAC ID: 4486901998 Enrollment ID: I20180716000446 |
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