Family Associates Of Merrimack Valley | |
201 Chelmsford St Chelmsford MA 01824 | |
(978) 256-1467 | |
(978) 256-7465 |
Full Name | Family Associates Of Merrimack Valley |
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Speciality | Clinic/Center |
Location | 201 Chelmsford St, Chelmsford, Massachusetts |
Authorized Official Name and Position | Joel Siegel (PRESIDENT COOWNER CODIRECTOR) |
Authorized Official Contact | 9782561467 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Associates Of Merrimack Valley 201 Chelmsford St Chelmsford MA 01824 Ph: (978) 256-1467 | Family Associates Of Merrimack Valley 201 Chelmsford St Chelmsford MA 01824 Ph: (978) 256-1467 |
NPI Number | 1174536809 |
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Provider Enumeration Date | 08/14/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6406837103 |
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Medicare Enrollment ID | O20040527001248 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174536809 | NPI | - | NPPES |
1018562 | Other | CIGNA BEHAVIORAL HEALTH | |
306079 | Other | MANAGED HEALTH NETWORK | |
1010500 | Other | BEACON HEALTH STRATEGIES | |
W10410 | Other | BCBS PSYCH | |
42682 | Other | MAGELLON BEHAVIORAL HLTH | |
614070 | Other | TUFTS HEALTH PLAN | |
CP0025 | Other | BCBS RNCS | |
1102303 | Medicaid | MA | |
111038 | Other | BEHAVIORAL HEALTH NETWORK | |
M16842 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Provider Name | Kira P Furtado |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952326084 PECOS PAC ID: 6901810852 Enrollment ID: I20060130000815 |
Provider Name | Cathlyn M Hill |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407969884 PECOS PAC ID: 5597834002 Enrollment ID: I20080522000554 |
Provider Name | Judith D Powsner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851375844 PECOS PAC ID: 3375561467 Enrollment ID: I20111209000040 |
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