| Mental Health Professionals Of New England, Pllc | |
|
100 Main St #101a Whitinsville MA 01588-2246 | |
| (508) 714-7018 | |
| Not Available |
| Full Name | Mental Health Professionals Of New England, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 100 Main St #101a, Whitinsville, Massachusetts |
| Authorized Official Name and Position | Edward Timinski (OWNER) |
| Authorized Official Contact | 5087147018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Professionals Of New England, Pllc 100 Main St #101a Whitinsville MA 01588-2246 Ph: (508) 714-7018 | Mental Health Professionals Of New England, Pllc 100 Main St #101a Whitinsville MA 01588-2246 Ph: (508) 714-7018 |
| NPI Number | 1942923420 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/08/2022 |
| Medicare PECOS PAC ID | 8022479617 |
|---|---|
| Medicare Enrollment ID | O20230728002913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942923420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Edward W Timinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083140016 PECOS PAC ID: 7214201219 Enrollment ID: I20201218001811 |
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