| Infinity Treatment Centers Of America Llc | |
|
790 Turnpike St Ste 300 North Andover MA 01845-6129 | |
| (678) 296-0842 | |
| (803) 932-9618 |
| Full Name | Infinity Treatment Centers Of America Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 790 Turnpike St Ste 300, North Andover, Massachusetts |
| Authorized Official Name and Position | Moinuddin H Muttakin (OWNER) |
| Authorized Official Contact | 8032202238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Treatment Centers Of America Llc 790 Turnpike St Ste 300 North Andover MA 01845-6129 Ph: (678) 296-0842 | Infinity Treatment Centers Of America Llc 790 Turnpike St Ste 300 North Andover MA 01845-6129 Ph: (678) 296-0842 |
| NPI Number | 1811650617 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Medicare PECOS PAC ID | 9436548021 |
|---|---|
| Medicare Enrollment ID | O20211122000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811650617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Moinuddin H Muttakin |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1427158146 PECOS PAC ID: 4284674441 Enrollment ID: I20050506000212 |
| Provider Name | Robin Mckinley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285971705 PECOS PAC ID: 1153566815 Enrollment ID: I20130328000466 |
| Provider Name | Jobin Sebastian Kalathil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023520749 PECOS PAC ID: 6709146509 Enrollment ID: I20190208001389 |
| Provider Name | Chloe Fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366060832 PECOS PAC ID: 1355743477 Enrollment ID: I20210713000951 |
| Provider Name | Sarah E Carew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598393381 PECOS PAC ID: 7810399854 Enrollment ID: I20210713001766 |
| Provider Name | Kristine C Buth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770250193 PECOS PAC ID: 0244636421 Enrollment ID: I20210914001741 |
| Provider Name | Jennifer Bedoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609447572 PECOS PAC ID: 0345635595 Enrollment ID: I20220324002498 |
Merrimack Valley Neurology Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 200 Sutton St Ste 140, North Andover, MA 01845 Phone: 978-620-8444 | |
Integrated Behavioral Care New England Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 Turnpike St Ste 300, North Andover, MA 01845 Phone: 978-296-5595 Fax: 978-296-5594 | |
Denise C Henneberry Psyd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 451 Andover St, Suite 301, North Andover, MA 01845 Phone: 617-388-7182 | |
North Andover Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 869 Turnpike St Unit 212, North Andover, MA 01845 Phone: 978-495-1420 | |
Raymond Arsenault Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Main St, North Andover, MA 01845 Phone: 978-985-4083 Fax: 978-372-7563 | |
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