| Boston Center For Memory, Inc | |
|
180 Wells Ave. Suite 304 Newton MA 02459 | |
| (617) 699-6927 | |
| (617) 383-5874 |
| Full Name | Boston Center For Memory, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 180 Wells Ave., Newton, Massachusetts |
| Authorized Official Name and Position | Elizabeth Vasey (MANAGER) |
| Authorized Official Contact | 9789937168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boston Center For Memory, Inc 180 Wells Ave. Suite 304 Newton MA 02459 Ph: (617) 699-6927 | Boston Center For Memory, Inc 180 Wells Ave. Suite 304 Newton MA 02459 Ph: (617) 699-6927 |
| NPI Number | 1609142017 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 05/04/2021 |
| Certification Date | 05/04/2021 |
| Medicare PECOS PAC ID | 7618128182 |
|---|---|
| Medicare Enrollment ID | O20121109000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609142017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | (* (Not Available)) | Primary |
| Provider Name | Andrew E Budson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326006453 PECOS PAC ID: 0446224463 Enrollment ID: I20040824001219 |
| Provider Name | Paul R Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417029802 PECOS PAC ID: 6901856376 Enrollment ID: I20121109000004 |
| Provider Name | Emily Lyle Cournoyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211403 PECOS PAC ID: 1759613029 Enrollment ID: I20191106001317 |
| Provider Name | Wendy Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922650944 PECOS PAC ID: 7618304312 Enrollment ID: I20200218002684 |
| Provider Name | Oleg Yerstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689093270 PECOS PAC ID: 8325264716 Enrollment ID: I20200903000487 |
| Provider Name | Paul M Morrissey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205825304 PECOS PAC ID: 9931586195 Enrollment ID: I20220510001315 |
| Provider Name | Mark Rapp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285131961 PECOS PAC ID: 1456696442 Enrollment ID: I20221207000746 |
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