Berkshire Psychodynamic Psychiatry Inc | |
48 Main St Stockbridge MA 01262-9701 | |
(413) 464-2876 | |
(413) 728-5580 |
Full Name | Berkshire Psychodynamic Psychiatry Inc |
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Speciality | Psychiatry & Neurology |
Location | 48 Main St, Stockbridge, Massachusetts |
Authorized Official Name and Position | Mark Bruckel Elliot (PRESIDENT) |
Authorized Official Contact | 4134642876 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Berkshire Psychodynamic Psychiatry Inc Po Box 962 Stockbridge MA 01262-0962 Ph: (413) 464-2876 | Berkshire Psychodynamic Psychiatry Inc 48 Main St Stockbridge MA 01262-9701 Ph: (413) 464-2876 |
NPI Number | 1801280391 |
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Provider Enumeration Date | 03/24/2015 |
Last Update Date | 04/30/2023 |
Certification Date | 04/30/2023 |
Medicare PECOS PAC ID | 6507187226 |
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Medicare Enrollment ID | O20150608000064 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801280391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 218113 (Massachusetts) | Primary |
Provider Name | Mark B Elliot |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1073597845 PECOS PAC ID: 1456336767 Enrollment ID: I20120510000197 |
Austen Riggs Center Iop Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Main St, Stockbridge, MA 01262 Phone: 413-298-5511 Fax: 413-298-4020 | |
Erin Seery Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Main Street, Stockbridge, MA 01262 Phone: 413-931-5831 | |
David F. Flynn, Md, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25 Main St., Stockbridge, MA 01262 Phone: 508-450-6320 |