Matthew C Whitaker, | |
460 Quincy Ave, 3rd Fl, Quincy, MA 02169-8130 | |
(857) 244-3537 | |
Not Available |
Full Name | Matthew C Whitaker |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 460 Quincy Ave, Quincy, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194041293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | South Shore Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770528317 PECOS PAC ID: 4082508429 Enrollment ID: O20040226000168 |
Mailing Address | Practice Location Address |
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Matthew C Whitaker, 362 Centre St, Apartment 17, Quincy, MA 02169-7562 Ph: (857) 244-3537 | Matthew C Whitaker, 460 Quincy Ave, 3rd Fl, Quincy, MA 02169-8130 Ph: (857) 244-3537 |
Karia Higginbottom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Quincy Ave, Quincy, MA 02169 Phone: 617-847-1950 | |
Ethan Zachary Stein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Quincy Ave, Quincy, MA 02169 Phone: 978-387-9023 | |
Steven James Gibbons, RECOVERY COACH Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Quincy Ave Ste B, Quincy, MA 02169 Phone: 857-939-1363 | |
Mr. Tom F Chappuis Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Quincy Ave, Quincy, MA 02169 Phone: 617-774-6036 | |
Victoria Spiker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1419 Hancock St Ste 202, Quincy, MA 02169 Phone: 617-770-9690 | |
Ms. Anke C Thorne, MS LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1 Billings Rd Ste 306, Quincy, MA 02171 Phone: 617-314-3495 Fax: 781-826-0012 | |
Daniel Robert Maltais, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 13 Temple St, Quincy, MA 02169 Phone: 617-471-8400 |