| Haverhill Pavilion Behavioral Health | |
|
76 Summer St Haverhill MA 01830-5814 | |
| (615) 861-6000 | |
| Not Available |
| Full Name | Haverhill Pavilion Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 76 Summer St, Haverhill, Massachusetts |
| Authorized Official Name and Position | Brian P. Farley (VP & SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haverhill Pavilion Behavioral Health 6100 Tower Cir Ste 1000 Franklin TN 37067-1509 Ph: () - | Haverhill Pavilion Behavioral Health 76 Summer St Haverhill MA 01830-5814 Ph: (615) 861-6000 |
| NPI Number | 1417420811 |
|---|---|
| Provider Enumeration Date | 01/08/2019 |
| Last Update Date | 08/26/2023 |
| Certification Date | 08/26/2023 |
| Medicare PECOS PAC ID | 7416291232 |
|---|---|
| Medicare Enrollment ID | O20190325000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417420811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Caren Ferris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588741342 PECOS PAC ID: 3971585597 Enrollment ID: I20040607000177 |
| Provider Name | Robert L Doyle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609851658 PECOS PAC ID: 8820072705 Enrollment ID: I20040617000360 |
| Provider Name | Alasdair S Donald |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821028309 PECOS PAC ID: 0840265013 Enrollment ID: I20040831000951 |
| Provider Name | Alexander I Lipin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851310064 PECOS PAC ID: 1456320738 Enrollment ID: I20041004000063 |
| Provider Name | Michael Rater |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740270214 PECOS PAC ID: 6406816057 Enrollment ID: I20041018000692 |
| Provider Name | Philippe J Sioufi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336188325 PECOS PAC ID: 2062469513 Enrollment ID: I20050406000707 |
| Provider Name | Pierre V Mayer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215976212 PECOS PAC ID: 7113931262 Enrollment ID: I20060127000752 |
| Provider Name | Sanda S Aung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679564108 PECOS PAC ID: 2163435504 Enrollment ID: I20060801000195 |
| Provider Name | Deborah Pittman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841361573 PECOS PAC ID: 0446289698 Enrollment ID: I20071013000103 |
| Provider Name | Elena B Galkina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780726380 PECOS PAC ID: 1153405139 Enrollment ID: I20080229000100 |
| Provider Name | Kevin D Kapila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346224334 PECOS PAC ID: 7012106990 Enrollment ID: I20110107000188 |
| Provider Name | Anthony J Ramirez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568527414 PECOS PAC ID: 2466365473 Enrollment ID: I20120509000650 |
| Provider Name | Barbara A Roderick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295084002 PECOS PAC ID: 1658671326 Enrollment ID: I20151202000564 |
| Provider Name | Emily Welsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700295672 PECOS PAC ID: 7618270554 Enrollment ID: I20160126002544 |
| Provider Name | David R Bowman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013355627 PECOS PAC ID: 9234401167 Enrollment ID: I20191203003134 |
| Provider Name | Lori A Dias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164078713 PECOS PAC ID: 8022340611 Enrollment ID: I20200720000877 |
| Provider Name | Jessica Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699483669 PECOS PAC ID: 5395115992 Enrollment ID: I20221222001770 |
| Provider Name | Amanda T Lanceleve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053037424 PECOS PAC ID: 8123499720 Enrollment ID: I20230118001900 |
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