| Harbor Counseling Center | |
|
789 Clapboardtree St Westwood MA 02090-1717 | |
| (781) 762-4001 | |
| (781) 461-5950 |
| Full Name | Harbor Counseling Center |
|---|---|
| Speciality | Psychologist |
| Location | 789 Clapboardtree St, Westwood, Massachusetts |
| Authorized Official Name and Position | Mark H Marot (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7817624001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Counseling Center 789 Clapboardtree St Westwood MA 02090-1717 Ph: (781) 762-4001 | Harbor Counseling Center 789 Clapboardtree St Westwood MA 02090-1717 Ph: (781) 762-4001 |
| NPI Number | 1154378834 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 01/06/2015 |
| Medicare PECOS PAC ID | 6406833524 |
|---|---|
| Medicare Enrollment ID | O20040706001243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154378834 | NPI | - | NPPES |
| 1005005 | Other | MA | BEACON HEALTH |
| 1309471 | Medicaid | MA | |
| 972092 | Other | MA | NETWORK HEALTH |
| 00000008446 | Other | MA | BMC HEALTH NET PLAN |
| 001353 | Other | MA | HPHC - VALUE OPTIONS |
| 735314 | Other | MA | TUFTS HEALTH PLAN |
| 1005005 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| M18519 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 735314 | Other | MA | TUFTS SECURE HORIZONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 4386 (Massachusetts) | Primary |
| Provider Name | Eleanor M Braun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962602714 PECOS PAC ID: 0143311696 Enrollment ID: I20070813000367 |
| Provider Name | Melinda A Brecher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053572180 PECOS PAC ID: 5890863047 Enrollment ID: I20081001000588 |
| Provider Name | Steven J Spitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619915931 PECOS PAC ID: 0840453452 Enrollment ID: I20120518000007 |
| Provider Name | Christine M Cannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750602785 PECOS PAC ID: 8022271295 Enrollment ID: I20120525000384 |
| Provider Name | Stephen C Nadel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831359850 PECOS PAC ID: 2961653266 Enrollment ID: I20121114000554 |
| Provider Name | Lisa K Heyison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992100150 PECOS PAC ID: 8628319696 Enrollment ID: I20190402000316 |
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