Carnegie Psychiatry Llc | |
11 Fairmount Ave Ste 109 Hyde Park MA 02136-2777 | |
(857) 345-9025 | |
Not Available |
Full Name | Carnegie Psychiatry Llc |
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Speciality | Community/Behavioral Health |
Location | 11 Fairmount Ave Ste 109, Hyde Park, Massachusetts |
Authorized Official Name and Position | Melanie Daley (PSYCHIATRIC NURSE PRACTITIONER) |
Authorized Official Contact | 8573459025 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carnegie Psychiatry Llc 11 Fairmount Ave Ste 109 Hyde Park MA 02136-2777 Ph: (857) 345-9025 | Carnegie Psychiatry Llc 11 Fairmount Ave Ste 109 Hyde Park MA 02136-2777 Ph: (857) 345-9025 |
NPI Number | 1336856640 |
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Provider Enumeration Date | 11/04/2022 |
Last Update Date | 05/11/2023 |
Certification Date | 01/08/2023 |
Medicare PECOS PAC ID | 9537507546 |
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Medicare Enrollment ID | O20240409003431 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336856640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Melanie Patricia Daley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982204426 PECOS PAC ID: 6406258185 Enrollment ID: I20210719000648 |
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