| Americare Behavioral Health, Llc | |
|
599 Canal St Fl 6e Lawrence MA 01840-1244 | |
| (978) 770-5743 | |
| Not Available |
| Full Name | Americare Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 599 Canal St Fl 6e, Lawrence, Massachusetts |
| Authorized Official Name and Position | Mathew Kiio (PRACTICE OWNER) |
| Authorized Official Contact | 9787705743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Americare Behavioral Health, Llc 599 Canal St Fl 6e Lawrence MA 01840-1244 Ph: (978) 770-5743 | Americare Behavioral Health, Llc 599 Canal St Fl 6e Lawrence MA 01840-1244 Ph: (978) 770-5743 |
| NPI Number | 1699300665 |
|---|---|
| Provider Enumeration Date | 03/10/2020 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Medicare PECOS PAC ID | 7113343807 |
|---|---|
| Medicare Enrollment ID | O20200812000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699300665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Ana S Cabacoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972623304 PECOS PAC ID: 2769544741 Enrollment ID: I20081230000027 |
| Provider Name | Mathew M Kiio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457704819 PECOS PAC ID: 8426364431 Enrollment ID: I20200224002099 |
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