| Mass Behavioral Health Center Inc | |
|
116 Belmont St Rm 44 Worcester MA 01605-2964 | |
| (508) 219-7189 | |
| (508) 419-7066 |
| Full Name | Mass Behavioral Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 116 Belmont St Rm 44, Worcester, Massachusetts |
| Authorized Official Name and Position | Stephen Zombil (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 0821971895 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mass Behavioral Health Center Inc 116 Belmont St Rm 44 Worcester MA 01605-2964 Ph: (508) 219-7189 | Mass Behavioral Health Center Inc 116 Belmont St Rm 44 Worcester MA 01605-2964 Ph: (508) 219-7189 |
| NPI Number | 1396328159 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 11/09/2022 |
| Certification Date | 11/09/2022 |
| Medicare PECOS PAC ID | 5698152403 |
|---|---|
| Medicare Enrollment ID | O20220517002205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396328159 | NPI | - | NPPES |
| 110188761A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Deborah L Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154339950 PECOS PAC ID: 9436102688 Enrollment ID: I20050228000588 |
| Provider Name | Stephen Zombil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780165498 PECOS PAC ID: 2668796574 Enrollment ID: I20181226000083 |
| Provider Name | Mi Ok Bruining |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154571115 PECOS PAC ID: 9830447960 Enrollment ID: I20181231000670 |
| Provider Name | Ineida Barros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417418336 PECOS PAC ID: 2668800145 Enrollment ID: I20200316001983 |
| Provider Name | Lovester Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497298079 PECOS PAC ID: 0941689939 Enrollment ID: I20220622001103 |
| Provider Name | Karen R. Distefano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184104176 PECOS PAC ID: 1951778372 Enrollment ID: I20221027002018 |
| Provider Name | Bupe Martha Habiyambere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154967099 PECOS PAC ID: 0345661575 Enrollment ID: I20230214000322 |
| Provider Name | Albert Peprah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932822533 PECOS PAC ID: 0749641520 Enrollment ID: I20230726001033 |
Olivia Homan, Licsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Cedar St, Worcester, MA 01609 Phone: 617-581-2267 | |
Autism Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Sterling St, Worcester, MA 01610 Phone: 508-321-3055 Fax: 508-321-3055 | |
James P. Bresnahan Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 55 Cedar St, Worcester, MA 01609 Phone: 508-752-1170 Fax: 508-752-1800 | |
Community Health Link Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-438-5578 Fax: 508-860-1023 | |
Guided Growth Therapy Collective Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Falcon St, Worcester, MA 01603 Phone: 508-769-2766 | |
Ld Psych Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Allston Ave, Worcester, MA 01604 Phone: 508-356-4495 | |
Hope Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Park Ave, Worcester, MA 01610 Phone: 508-713-1191 |