Family And Community Resources, Inc. | |
18 Newton St Brockton MA 02301-5115 | |
(508) 583-6498 | |
(508) 583-3775 |
Full Name | Family And Community Resources, Inc. |
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Speciality | Community/Behavioral Health |
Location | 18 Newton St, Brockton, Massachusetts |
Authorized Official Name and Position | Claudette Kelly (BILLING DIRECTOR) |
Authorized Official Contact | 5085836498 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family And Community Resources, Inc. 18 Newton St Brockton MA 02301-5115 Ph: (508) 583-6498 | Family And Community Resources, Inc. 18 Newton St Brockton MA 02301-5115 Ph: (508) 583-6498 |
NPI Number | 1821159880 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 02/10/2020 |
Certification Date | 02/10/2020 |
Medicare PECOS PAC ID | 2860489960 |
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Medicare Enrollment ID | O20040429000980 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821159880 | NPI | - | NPPES |
1302981 | Other | MD | MBHP ID # |
95074701 | Other | MA | NETWORK HEALTH |
1302981 | Medicaid | MA | |
725287 | Other | MA | TUFTS ID NUMBER |
M18532 | Other | MA | BCBS ID NUMBER |
1003790 | Other | MA | BEACON HEALTH ID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4695 DPH (Massachusetts) | Primary |
Provider Name | Erin K Deehan |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205166832 PECOS PAC ID: 2567365919 Enrollment ID: I20040202000029 |
Provider Name | Ruth E Zakarian |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023158946 PECOS PAC ID: 3971524679 Enrollment ID: I20051209000103 |
Provider Name | Melissa Gardner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033652987 PECOS PAC ID: 2062796758 Enrollment ID: I20170223002477 |
Provider Name | Ryan M Lydon |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1669813085 PECOS PAC ID: 9133410038 Enrollment ID: I20170905001355 |
Arbour Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Shaw Rd, Brockton, MA 02301 Phone: 617-935-4872 | |
Aubrey Lieberman Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1342 Belmont St, Suite 105, Brockton, MA 02301 Phone: 508-580-3330 Fax: 508-580-8633 | |
South Bay Community Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
South Bay Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 West Chestnut Street Suite 202, Brockton, MA 02301 Phone: 508-521-2200 Fax: 508-584-2227 | |
Bmc Brockton Behavioral Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 34 N Pearl St, Brockton, MA 02301 Phone: 617-414-5393 | |
Brockton Multi Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Dmh, Brockton, MA 02302 Phone: 508-897-2000 Fax: 508-586-5117 | |
Emergency Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Brockton, MA 02302 Phone: 508-897-2000 |