| Institute For Health And Recovery Inc | |
|
75 N Beacon St Ste 2 Watertown MA 02472-2671 | |
| (617) 661-3991 | |
| (617) 661-7277 |
| Full Name | Institute For Health And Recovery Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 75 N Beacon St Ste 2, Watertown, Massachusetts |
| Authorized Official Name and Position | Valerie Gold (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6176613991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Health And Recovery Inc 75 N Beacon St Ste 2 Watertown MA 02472-2671 Ph: (617) 661-3991 | Institute For Health And Recovery Inc 75 N Beacon St Ste 2 Watertown MA 02472-2671 Ph: (617) 661-3991 |
| NPI Number | 1871893081 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Medicare PECOS PAC ID | 6507171519 |
|---|---|
| Medicare Enrollment ID | O20150820010382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871893081 | NPI | - | NPPES |
| 110087398B | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0845 (Massachusetts) | Primary |
| Provider Name | Katherine A Rainwater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356604433 PECOS PAC ID: 9436188612 Enrollment ID: I20050808000980 |
| Provider Name | Lynne Blaisdell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568809861 PECOS PAC ID: 6507168424 Enrollment ID: I20160111000337 |
| Provider Name | Anna Learner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730582636 PECOS PAC ID: 5698046803 Enrollment ID: I20170807002068 |
| Provider Name | Megan Blomberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588222947 PECOS PAC ID: 3779913868 Enrollment ID: I20200413001700 |
| Provider Name | Mark Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700127156 PECOS PAC ID: 0244660587 Enrollment ID: I20200428001911 |
| Provider Name | Ritu Juneja |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386218956 PECOS PAC ID: 0547667834 Enrollment ID: I20210929002782 |
| Provider Name | Jillian Correira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710592068 PECOS PAC ID: 3870985252 Enrollment ID: I20220114000847 |
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