| Assist Psychiatric Services Llc | |
|
10 Lupine Rd Natick MA 01760-2004 | |
| (832) 766-6347 | |
| Not Available |
| Full Name | Assist Psychiatric Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10 Lupine Rd, Natick, Massachusetts |
| Authorized Official Name and Position | Kelvin Lewis Miller (OWNER) |
| Authorized Official Contact | 8327666347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assist Psychiatric Services Llc 10 Lupine Rd Natick MA 01760-2004 Ph: () - | Assist Psychiatric Services Llc 10 Lupine Rd Natick MA 01760-2004 Ph: (832) 766-6347 |
| NPI Number | 1306573654 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 08/05/2022 |
| Certification Date | 07/29/2022 |
| Medicare PECOS PAC ID | 4486038312 |
|---|---|
| Medicare Enrollment ID | O20220826000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306573654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Kelvin Lewis Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609428697 PECOS PAC ID: 8628475050 Enrollment ID: I20210927002971 |
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