| Berkshire Integrative Psychiatry Pc | |
|
10 Wendell Avenue Ext Pittsfield MA 01201-6283 | |
| (802) 233-4291 | |
| Not Available |
| Full Name | Berkshire Integrative Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10 Wendell Avenue Ext, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Anthony Giovanone (OWNER) |
| Authorized Official Contact | 8022334291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkshire Integrative Psychiatry Pc 16 Alpine Trl Pittsfield MA 01201-8844 Ph: (802) 233-4291 | Berkshire Integrative Psychiatry Pc 10 Wendell Avenue Ext Pittsfield MA 01201-6283 Ph: (802) 233-4291 |
| NPI Number | 1558042366 |
|---|---|
| Provider Enumeration Date | 07/26/2023 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 2062869357 |
|---|---|
| Medicare Enrollment ID | O20231108000618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558042366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Anthony Giovanone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760746507 PECOS PAC ID: 1658515812 Enrollment ID: I20160824001626 |
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