| Judge Baker Children's Center | |
|
53 Parker Hill Ave Boston MA 02120-3225 | |
| (617) 278-4265 | |
| Not Available |
| Full Name | Judge Baker Children's Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 53 Parker Hill Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Katherine May (DIRECTOR OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 6172543800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judge Baker Children's Center 53 Parker Hill Ave Boston MA 02120-3225 Ph: (617) 278-4265 | Judge Baker Children's Center 53 Parker Hill Ave Boston MA 02120-3225 Ph: (617) 278-4265 |
| NPI Number | 1629559059 |
|---|---|
| Provider Enumeration Date | 08/23/2018 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/10/2023 |
| Medicare PECOS PAC ID | 7719394030 |
|---|---|
| Medicare Enrollment ID | O20210401000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629559059 | NPI | - | NPPES |
| Provider Name | Daniel M. Cheron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609065028 PECOS PAC ID: 7416364625 Enrollment ID: I20210405001461 |
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