| Elizabeth Childs M.d., P.c. | |
|
157 Walnut St Brookline MA 02445-7751 | |
| (617) 734-6267 | |
| (617) 734-4081 |
| Full Name | Elizabeth Childs M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 157 Walnut St, Brookline, Massachusetts |
| Authorized Official Name and Position | Elizabeth Childs (PRESIDENT) |
| Authorized Official Contact | 6177346267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Childs M.d., P.c. 157 Walnut St Brookline MA 02445-7751 Ph: (617) 734-6267 | Elizabeth Childs M.d., P.c. 157 Walnut St Brookline MA 02445-7751 Ph: (617) 734-6267 |
| NPI Number | 1437290350 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 09/25/2009 |
| Medicare PECOS PAC ID | 7315029238 |
|---|---|
| Medicare Enrollment ID | O20080131000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437290350 | NPI | - | NPPES |
| 110045376A | Medicaid | MA | |
| 724409 | Other | MA | TUFTS |
| J07076 | Other | MA | BCBS |
| M16273 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 59072 (Massachusetts) | Primary |
| Provider Name | Elizabeth Childs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427182245 PECOS PAC ID: 7810944584 Enrollment ID: I20050405000531 |
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