| Haven Psych Pllc | |
|
50 Oliver St Ste 211 North Easton MA 02356-1467 | |
| (508) 294-8256 | |
| Not Available |
| Full Name | Haven Psych Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 50 Oliver St Ste 211, North Easton, Massachusetts |
| Authorized Official Name and Position | Josephine P Reese (OWNER) |
| Authorized Official Contact | 5082948256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Psych Pllc 9 Central Ave Plymouth MA 02360-2306 Ph: (508) 294-8256 | Haven Psych Pllc 50 Oliver St Ste 211 North Easton MA 02356-1467 Ph: (508) 294-8256 |
| NPI Number | 1265136675 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 7911372495 |
|---|---|
| Medicare Enrollment ID | O20230414001390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265136675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Gene M Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699743245 PECOS PAC ID: 8820064025 Enrollment ID: I20190416000895 |
| Provider Name | Josephine P Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962167965 PECOS PAC ID: 3870961394 Enrollment ID: I20221115000331 |
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