| Clarity Of Mind Mental Health | |
|
500 N Main St Randolph MA 02368-6700 | |
| (781) 885-0466 | |
| (781) 885-0468 |
| Full Name | Clarity Of Mind Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 N Main St, Randolph, Massachusetts |
| Authorized Official Name and Position | Milka Fong (THERAPIST) |
| Authorized Official Contact | 7817335694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarity Of Mind Mental Health 500 N Main St Randolph MA 02368-6700 Ph: (781) 885-0466 | Clarity Of Mind Mental Health 500 N Main St Randolph MA 02368-6700 Ph: (781) 885-0466 |
| NPI Number | 1659016889 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 05/02/2022 |
| Certification Date | 05/02/2022 |
| Medicare PECOS PAC ID | 3476916750 |
|---|---|
| Medicare Enrollment ID | O20230905001322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659016889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Edith S Pepper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033428495 PECOS PAC ID: 5890976559 Enrollment ID: I20110301000320 |
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