| Dept Of Mental Health - Dr. Solomon Carter Fuller Mental Health Center | |
|
85 E Newton St Boston MA 02118-2340 | |
| (617) 626-8860 | |
| Not Available |
| Full Name | Dept Of Mental Health - Dr. Solomon Carter Fuller Mental Health Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 85 E Newton St, Boston, Massachusetts |
| Authorized Official Name and Position | James E Cooney (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6176268796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dept Of Mental Health - Dr. Solomon Carter Fuller Mental Health Center 85 E Newton St Boston MA 02118-2340 Ph: (617) 626-8860 | Dept Of Mental Health - Dr. Solomon Carter Fuller Mental Health Center 85 E Newton St Boston MA 02118-2340 Ph: (617) 626-8860 |
| NPI Number | 1285759464 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Medicare PECOS PAC ID | 8820906860 |
|---|---|
| Medicare Enrollment ID | O20040819000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285759464 | NPI | - | NPPES |
| 1103229 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
| Provider Name | Robert J Mendoza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992704829 PECOS PAC ID: 9931007804 Enrollment ID: I20031230000261 |
| Provider Name | Kathleen L Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821067141 PECOS PAC ID: 4880673375 Enrollment ID: I20040719000105 |
| Provider Name | Floarea Pentiuc |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093756058 PECOS PAC ID: 9335112283 Enrollment ID: I20040818000487 |
| Provider Name | Manuel N Pacheco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982695284 PECOS PAC ID: 0648206987 Enrollment ID: I20050708000793 |
| Provider Name | Grigoriy I Labun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144252685 PECOS PAC ID: 8325042864 Enrollment ID: I20060914000235 |
| Provider Name | Karen W Kwok |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922034396 PECOS PAC ID: 3678577145 Enrollment ID: I20060914000465 |
| Provider Name | Marco L Caicedo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972535664 PECOS PAC ID: 9537165592 Enrollment ID: I20061013000497 |
| Provider Name | Joanna Piechniczek Buczek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225056245 PECOS PAC ID: 7416052287 Enrollment ID: I20070424000244 |
| Provider Name | Donald R Cluett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710969381 PECOS PAC ID: 1355418005 Enrollment ID: I20080922000266 |
| Provider Name | Scott A Freeman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386750529 PECOS PAC ID: 6204885338 Enrollment ID: I20081017000118 |
| Provider Name | Kinjalika Sathi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578884425 PECOS PAC ID: 5799928859 Enrollment ID: I20130821000857 |
| Provider Name | Genny I Wolf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659665909 PECOS PAC ID: 5092932780 Enrollment ID: I20140804000381 |
| Provider Name | Emily Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427311349 PECOS PAC ID: 4587881651 Enrollment ID: I20150306000228 |
| Provider Name | Heidi M Hotin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992068928 PECOS PAC ID: 6002134517 Enrollment ID: I20150414000469 |
| Provider Name | Victoria J Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003285826 PECOS PAC ID: 1759680192 Enrollment ID: I20160505002254 |
| Provider Name | Solomon J Adelsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023350931 PECOS PAC ID: 8325342181 Enrollment ID: I20161208001478 |
| Provider Name | Freddy Carreras Alvarado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184057648 PECOS PAC ID: 0345539516 Enrollment ID: I20170323000967 |
| Provider Name | Justin J Lacasse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184066219 PECOS PAC ID: 7517256308 Enrollment ID: I20170804000525 |
| Provider Name | Jeff Guanbo Zhao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881956969 PECOS PAC ID: 5991094328 Enrollment ID: I20171107000219 |
| Provider Name | Alina Z. Levine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659880490 PECOS PAC ID: 5092076588 Enrollment ID: I20180226000175 |
| Provider Name | Muhammad Zeshan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215349402 PECOS PAC ID: 5496016339 Enrollment ID: I20180309001703 |
| Provider Name | Barbara A Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881132686 PECOS PAC ID: 8820342736 Enrollment ID: I20181113000815 |
| Provider Name | Nixon Cornay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164835211 PECOS PAC ID: 4587985171 Enrollment ID: I20190909000738 |
| Provider Name | Duy Q. Ly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649620360 PECOS PAC ID: 8325474463 Enrollment ID: I20200207001377 |
| Provider Name | Colleen M Curtin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356847719 PECOS PAC ID: 9739438599 Enrollment ID: I20210415002627 |
| Provider Name | Kyan K Gorin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144814716 PECOS PAC ID: 3870995822 Enrollment ID: I20210713002361 |
| Provider Name | Tyler C Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134660301 PECOS PAC ID: 8628471653 Enrollment ID: I20210728000689 |
| Provider Name | Mehmet Camkurt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457840316 PECOS PAC ID: 4183013709 Enrollment ID: I20211119000077 |
| Provider Name | Sandra Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417590613 PECOS PAC ID: 0941690507 Enrollment ID: I20211214001636 |
| Provider Name | Christina S Fasolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477120905 PECOS PAC ID: 6507252681 Enrollment ID: I20220330001457 |
| Provider Name | Rosevelt S Nwokeji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568133569 PECOS PAC ID: 4183091192 Enrollment ID: I20221104000099 |
| Provider Name | Reid Mergler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558820654 PECOS PAC ID: 5698143493 Enrollment ID: I20221129002305 |
| Provider Name | Meghan Elizabeth O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376244590 PECOS PAC ID: 8921457540 Enrollment ID: I20231207003735 |
| Provider Name | Adriane Jakell Meadows |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477040442 PECOS PAC ID: 2961746060 Enrollment ID: I20240131002582 |
The Collaborative Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Arlington St Ste 500, Boston, MA 02116 Phone: 617-651-1101 | |
Meditelecare Of Massachusetts, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 84 State St, Boston, MA 02109 Phone: 860-788-6404 Fax: 860-829-0495 | |
Ahead Massachusetts Medical Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Liberty Sq # 2523, Boston, MA 02109 Phone: 855-306-7786 Fax: 415-367-3629 | |
Harvard Vanguard Medical Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Brookline Ave, Boston, MA 02215 Phone: 617-421-1000 Fax: 617-421-1191 | |
Dr. Laura Fasciano Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Arch St Fl 8, Boston, MA 02110 Phone: 203-530-6979 | |
David Buckley Pmhnp Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Boylston St Ste 191l, Boston, MA 02116 Phone: 617-302-7102 | |
The Wellbeing Umbrella, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Devonshire St Ste 902, Boston, MA 02110 Phone: 617-383-7010 |