| Psychotherapy North, Llc | |
|
5 Essex Green Dr Peabody MA 01960-2929 | |
| (617) 797-8358 | |
| Not Available |
| Full Name | Psychotherapy North, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5 Essex Green Dr, Peabody, Massachusetts |
| Authorized Official Name and Position | Deborah Brigandi (PRESIDENT) |
| Authorized Official Contact | 6177978358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy North, Llc 5 Essex Green Dr Peabody MA 01960-2929 Ph: (617) 797-8358 | Psychotherapy North, Llc 5 Essex Green Dr Peabody MA 01960-2929 Ph: (617) 797-8358 |
| NPI Number | 1609408335 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 08/13/2020 |
| Certification Date | 08/13/2020 |
| Medicare PECOS PAC ID | 0749606770 |
|---|---|
| Medicare Enrollment ID | O20200820001882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609408335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah Brigandi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225164601 PECOS PAC ID: 3072616705 Enrollment ID: I20070316000250 |
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