| Community Neuroscience Services, Llc | |
|
33 Lyman St Ste 400 Westborough MA 01581-1434 | |
| (508) 898-0055 | |
| Not Available |
| Full Name | Community Neuroscience Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 33 Lyman St Ste 400, Westborough, Massachusetts |
| Authorized Official Name and Position | Jordan Eisenstock (PRESIDENT - OWNER) |
| Authorized Official Contact | 5088980055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Neuroscience Services, Llc 14 Monument Sq Ste 401 Leominster MA 01453-5766 Ph: (978) 728-4455 | Community Neuroscience Services, Llc 33 Lyman St Ste 400 Westborough MA 01581-1434 Ph: (508) 898-0055 |
| NPI Number | 1578940219 |
|---|---|
| Provider Enumeration Date | 05/01/2015 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Medicare PECOS PAC ID | 1658688031 |
|---|---|
| Medicare Enrollment ID | O20150917000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578940219 | NPI | - | NPPES |
| Provider Name | Rebecca S Lundquist |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770566739 PECOS PAC ID: 1355300682 Enrollment ID: I20041004000525 |
| Provider Name | David Patrick Morin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215910914 PECOS PAC ID: 9739135195 Enrollment ID: I20050329000579 |
| Provider Name | Mohammad Salajegheh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427012822 PECOS PAC ID: 2567561392 Enrollment ID: I20070620000233 |
| Provider Name | Christy Diane Stine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053380618 PECOS PAC ID: 2264455344 Enrollment ID: I20080103000520 |
| Provider Name | Brian K Dessureau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932190279 PECOS PAC ID: 5092891325 Enrollment ID: I20080326000652 |
| Provider Name | Cuneyt Iscan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215919212 PECOS PAC ID: 3375620347 Enrollment ID: I20080402000170 |
| Provider Name | Jordan H Eisenstock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164573283 PECOS PAC ID: 4486721073 Enrollment ID: I20080924000014 |
| Provider Name | Anthony F Izzo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215198692 PECOS PAC ID: 7911174073 Enrollment ID: I20120113000197 |
| Provider Name | Jonathan M Tisdell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528235447 PECOS PAC ID: 9537317664 Enrollment ID: I20120914000713 |
| Provider Name | Shivang G Joshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902034531 PECOS PAC ID: 5890945497 Enrollment ID: I20121017000011 |
| Provider Name | Richard P Goddeau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881745826 PECOS PAC ID: 3971649567 Enrollment ID: I20121027000004 |
| Provider Name | Suja Sadasivan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881822021 PECOS PAC ID: 4688817901 Enrollment ID: I20130905000167 |
| Provider Name | Rifat M Sharif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891030581 PECOS PAC ID: 2860620358 Enrollment ID: I20140108000037 |
| Provider Name | Alixis A. Van Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063844694 PECOS PAC ID: 8022244623 Enrollment ID: I20140115001213 |
| Provider Name | Breta D Boots |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891080255 PECOS PAC ID: 5294958781 Enrollment ID: I20160204000106 |
| Provider Name | Elizabeth R Degrush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669767539 PECOS PAC ID: 6709153091 Enrollment ID: I20170516001769 |
| Provider Name | Michelle L Hadley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255642682 PECOS PAC ID: 0840567764 Enrollment ID: I20170525000583 |
| Provider Name | Leah Grodin Richler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417376849 PECOS PAC ID: 6103042627 Enrollment ID: I20180810001307 |
| Provider Name | Justin Donaghy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558712992 PECOS PAC ID: 7911285127 Enrollment ID: I20210610001001 |
| Provider Name | Sarah Palmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215433180 PECOS PAC ID: 9931458924 Enrollment ID: I20230623001851 |
| Provider Name | Joshua Kriegel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477013910 PECOS PAC ID: 0143556274 Enrollment ID: I20230711002391 |
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