Birch Grove Mental Health | |
234 Littleton Rd Ste 1b Westford MA 01886-3530 | |
(603) 400-2552 | |
(617) 801-8029 |
Full Name | Birch Grove Mental Health |
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Speciality | Clinic/Center |
Location | 234 Littleton Rd Ste 1b, Westford, Massachusetts |
Authorized Official Name and Position | Juliana S Pires (OWNER/CLINICIAN) |
Authorized Official Contact | 6176004506 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Birch Grove Mental Health 10 Chestnut Dr Unit M Bedford NH 03110-5555 Ph: (617) 600-4506 | Birch Grove Mental Health 234 Littleton Rd Ste 1b Westford MA 01886-3530 Ph: (603) 400-2552 |
NPI Number | 1366022360 |
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Provider Enumeration Date | 04/13/2021 |
Last Update Date | 01/10/2023 |
Certification Date | 12/09/2022 |
Medicare PECOS PAC ID | 0840666921 |
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Medicare Enrollment ID | O20221013003344 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366022360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Natasa Ristivojevic |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1245821222 PECOS PAC ID: 8426455239 Enrollment ID: I20210921003543 |
Provider Name | Juliana Stiegele Pires |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295068153 PECOS PAC ID: 5496160491 Enrollment ID: I20221013003407 |
Provider Name | James M Quackenbush |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477132538 PECOS PAC ID: 1557766813 Enrollment ID: I20221031001378 |
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