| Multi-service Eating Disorders Association Inc | |
|
1320 Centre St Ste 101 Newton MA 02459-2400 | |
| (617) 558-1881 | |
| Not Available |
| Full Name | Multi-service Eating Disorders Association Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1320 Centre St Ste 101, Newton, Massachusetts |
| Authorized Official Name and Position | Monika Ostroff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6175581881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multi-service Eating Disorders Association Inc 1320 Centre St Ste 101 Newton MA 02459-2400 Ph: (617) 558-1881 | Multi-service Eating Disorders Association Inc 1320 Centre St Ste 101 Newton MA 02459-2400 Ph: (617) 558-1881 |
| NPI Number | 1861038473 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 02/08/2024 |
| Medicare PECOS PAC ID | 8628408697 |
|---|---|
| Medicare Enrollment ID | O20200416000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861038473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Monika E Herrick Ostroff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639105885 PECOS PAC ID: 5294755179 Enrollment ID: I20200416000282 |
| Provider Name | Audrey Claire Steffano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598240251 PECOS PAC ID: 7719372853 Enrollment ID: I20220328000941 |
| Provider Name | Megan Lissandrello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871039693 PECOS PAC ID: 0941683429 Enrollment ID: I20220816002204 |
| Provider Name | Ruth A Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871762435 PECOS PAC ID: 5991873440 Enrollment ID: I20220906000882 |
| Provider Name | Darcy Ruth Schultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487962171 PECOS PAC ID: 7315383502 Enrollment ID: I20240311001333 |
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