| Greater Lowell Psychiatric Associates, Llc | |
|
73 Princeton Street Suite 203 North Chelmsford MA 01863 | |
| (978) 256-6579 | |
| (978) 256-1943 |
| Full Name | Greater Lowell Psychiatric Associates, Llc |
|---|---|
| Speciality | Registered Nurse |
| Location | 73 Princeton Street, North Chelmsford, Massachusetts |
| Authorized Official Name and Position | Ronald Winfield (OWNER) |
| Authorized Official Contact | 9782566579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Lowell Psychiatric Associates, Llc 73 Princeton Street Suite 203 North Chelmsford MA 01863 Ph: (978) 256-6579 | Greater Lowell Psychiatric Associates, Llc 73 Princeton Street Suite 203 North Chelmsford MA 01863 Ph: (978) 256-6579 |
| NPI Number | 1760463004 |
|---|---|
| Provider Enumeration Date | 11/11/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9335044189 |
|---|---|
| Medicare Enrollment ID | O20031204000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760463004 | NPI | - | NPPES |
| 133627000 | Other | MA | MAGELLAN |
| 681340 | Other | MA | TUFTS |
| 9719661 | Medicaid | MA | |
| M17257 | Other | MA | BCBSMA |
| Provider Name | Grace S Trivers |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1306828512 PECOS PAC ID: 5294718706 Enrollment ID: I20040607001612 |
| Provider Name | Ronald P Winfield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679554927 PECOS PAC ID: 5193620953 Enrollment ID: I20050518000897 |
| Provider Name | Lucy Anne Grosvenor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083697049 PECOS PAC ID: 4789618281 Enrollment ID: I20050923000640 |
| Provider Name | Robert A Dimeo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588645824 PECOS PAC ID: 9032144035 Enrollment ID: I20050928001020 |
| Provider Name | Danielle Cogliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679656151 PECOS PAC ID: 3870593957 Enrollment ID: I20070115000194 |
| Provider Name | Annapurna Bhagavathula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992946099 PECOS PAC ID: 8820145121 Enrollment ID: I20090402000135 |
| Provider Name | Olga Cobozeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164821864 PECOS PAC ID: 5193030732 Enrollment ID: I20150812006436 |
| Provider Name | Cathryn Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003241969 PECOS PAC ID: 2668769381 Enrollment ID: I20160923001430 |
| Provider Name | Amanda R Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063968709 PECOS PAC ID: 6305134941 Enrollment ID: I20161013001499 |
| Provider Name | Jennifer L Burzyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407230493 PECOS PAC ID: 7315255452 Enrollment ID: I20171002000434 |
| Provider Name | Alexandra E Krosner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992198717 PECOS PAC ID: 8527329234 Enrollment ID: I20180220002675 |
| Provider Name | Henry Kaggwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578107959 PECOS PAC ID: 7214338656 Enrollment ID: I20210623001826 |
| Provider Name | Rosibel Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801363197 PECOS PAC ID: 6204288020 Enrollment ID: I20240117003251 |
| Provider Name | Susan Garian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962866384 PECOS PAC ID: 7810333952 Enrollment ID: I20240311003604 |
| Provider Name | Jaime L Cole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669765640 PECOS PAC ID: 0840634101 Enrollment ID: I20240314002506 |
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