| Mount Auburn Hospital | |
|
330 Mount Auburn St Cambridge MA 02138-5502 | |
| (617) 492-3500 | |
| (617) 499-5422 |
| Full Name | Mount Auburn Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 330 Mount Auburn St, Cambridge, Massachusetts |
| Authorized Official Name and Position | Brian Smith (CFO) |
| Authorized Official Contact | 4052456238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Auburn Hospital 330 Mount Auburn St Cambridge MA 02138-5502 Ph: (617) 492-3500 | Mount Auburn Hospital 330 Mount Auburn St Cambridge MA 02138-5502 Ph: (617) 492-3500 |
| NPI Number | 1649254491 |
|---|---|
| Provider Enumeration Date | 12/05/2005 |
| Last Update Date | 05/05/2024 |
| Certification Date | 05/05/2024 |
| Medicare PECOS PAC ID | 2668364183 |
|---|---|
| Medicare Enrollment ID | O20040329000378 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649254491 | NPI | - | NPPES |
| 50-40078 | Other | MA | UNITED HEALTHCARE |
| 996324 | Other | MA | NETWORK HEALTH PLAN |
| 0007057 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 1002150 | Other | MA | BEACON HEALTH-OUTPATIENT |
| 0012149 | Other | MA | AETNA/US HEALTHCARE |
| 245718 | Other | MA | MAGELLAN/MA MERIT CLAIMS |
| MOU2222000230 | Other | MA | BLUE X MASTER MEDICAL |
| 900037 | Other | MA | TUFTS ASSC HLTH PL. INPAT |
| 900749 | Other | MA | TUFTS ASSC HLTH PL-OUTPAT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 2898 (Massachusetts) | Primary |
| Provider Name | John S Martin Joy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023169141 PECOS PAC ID: 5597750976 Enrollment ID: I20040415001060 |
| Provider Name | Snezana Milanovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689604456 PECOS PAC ID: 1355322744 Enrollment ID: I20040601000730 |
| Provider Name | Lily A Awad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275615908 PECOS PAC ID: 9739141854 Enrollment ID: I20041101000950 |
| Provider Name | James A Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427070036 PECOS PAC ID: 2668427824 Enrollment ID: I20050321000686 |
| Provider Name | Joseph P Dafflitti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902859986 PECOS PAC ID: 8921054891 Enrollment ID: I20050323001064 |
| Provider Name | Ramona Dvorak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386635589 PECOS PAC ID: 0446206734 Enrollment ID: I20050330000293 |
| Provider Name | Manuel N Pacheco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982695284 PECOS PAC ID: 0648206987 Enrollment ID: I20050708000793 |
| Provider Name | Amy M Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841277357 PECOS PAC ID: 5092742338 Enrollment ID: I20050719000704 |
| Provider Name | Donna M Mcnally |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669547584 PECOS PAC ID: 5496785388 Enrollment ID: I20050819000773 |
| Provider Name | Michelle A Dale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043384696 PECOS PAC ID: 1254365455 Enrollment ID: I20050926001080 |
| Provider Name | Susan L Darby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124100680 PECOS PAC ID: 2163448739 Enrollment ID: I20051022000141 |
| Provider Name | Elizabeth C Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831262617 PECOS PAC ID: 4789600362 Enrollment ID: I20051022000160 |
| Provider Name | Donald J Meyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104869759 PECOS PAC ID: 9335169549 Enrollment ID: I20051202000411 |
| Provider Name | Andrew Untch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912070798 PECOS PAC ID: 3375564636 Enrollment ID: I20051214000395 |
| Provider Name | Jocelyn Winzer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255424008 PECOS PAC ID: 2062410350 Enrollment ID: I20061121000305 |
| Provider Name | Elizabeth M Cicerano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942426465 PECOS PAC ID: 5698752665 Enrollment ID: I20080502000084 |
| Provider Name | Isaac Greenberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558366690 PECOS PAC ID: 3476622937 Enrollment ID: I20080523000216 |
| Provider Name | Antonio E Bullon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063527950 PECOS PAC ID: 8628128683 Enrollment ID: I20090612000173 |
| Provider Name | Jennifer R Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578600763 PECOS PAC ID: 4082764873 Enrollment ID: I20090617000351 |
| Provider Name | Debra L Shrier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447486055 PECOS PAC ID: 8224174206 Enrollment ID: I20091005000601 |
| Provider Name | Sejal B Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326238312 PECOS PAC ID: 1759429582 Enrollment ID: I20091116000068 |
| Provider Name | Sara H Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295922011 PECOS PAC ID: 2769506658 Enrollment ID: I20100830000507 |
| Provider Name | Kathleen Leahy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912070640 PECOS PAC ID: 2769670181 Enrollment ID: I20101229000032 |
| Provider Name | Margarita Eydelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619142460 PECOS PAC ID: 2062692775 Enrollment ID: I20110214000309 |
| Provider Name | Laura Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992011415 PECOS PAC ID: 7315127883 Enrollment ID: I20110216000049 |
| Provider Name | Amy M Mayhew |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831336064 PECOS PAC ID: 7810174422 Enrollment ID: I20110608000459 |
| Provider Name | Suzanne L Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750606257 PECOS PAC ID: 6406033802 Enrollment ID: I20110613000510 |
| Provider Name | Nina V Isakovich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134394927 PECOS PAC ID: 2264601210 Enrollment ID: I20110808000465 |
| Provider Name | Lisa Iguchi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255611042 PECOS PAC ID: 7012180672 Enrollment ID: I20120228000312 |
| Provider Name | Ofra Sarid-segal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275550097 PECOS PAC ID: 4789843640 Enrollment ID: I20120313000092 |
| Provider Name | Argyro P Caminis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184883795 PECOS PAC ID: 8820256407 Enrollment ID: I20120820000782 |
| Provider Name | Ryan P Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457687071 PECOS PAC ID: 4486818788 Enrollment ID: I20130320000564 |
| Provider Name | John Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639306459 PECOS PAC ID: 1759540248 Enrollment ID: I20130626000715 |
| Provider Name | Rita F Chapdelaine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760701999 PECOS PAC ID: 3274760640 Enrollment ID: I20131210000384 |
| Provider Name | Monique M Willett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568512358 PECOS PAC ID: 2860671476 Enrollment ID: I20140416000117 |
| Provider Name | Rachel R Andaloro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962848077 PECOS PAC ID: 3971736141 Enrollment ID: I20140424000823 |
| Provider Name | Emily H Mukherji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689995847 PECOS PAC ID: 5597923557 Enrollment ID: I20140805002314 |
| Provider Name | Matthew P Lahaie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144514167 PECOS PAC ID: 5597923201 Enrollment ID: I20141023000281 |
| Provider Name | Linda A Ennis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841261146 PECOS PAC ID: 3274504535 Enrollment ID: I20151002000307 |
| Provider Name | Marina Peters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922449024 PECOS PAC ID: 7416250956 Enrollment ID: I20160118000202 |
| Provider Name | Brian S Barnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346688421 PECOS PAC ID: 3274761176 Enrollment ID: I20160302002067 |
| Provider Name | Jessica Erin Zoltani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144581786 PECOS PAC ID: 1153640768 Enrollment ID: I20160418001705 |
| Provider Name | Stephen M Tourjee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184985913 PECOS PAC ID: 6901024439 Enrollment ID: I20160531000946 |
| Provider Name | Jacob L. Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902198211 PECOS PAC ID: 7315196516 Enrollment ID: I20160930001787 |
| Provider Name | Lindsay Cotterpong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700133022 PECOS PAC ID: 4082994454 Enrollment ID: I20161201001781 |
| Provider Name | Solomon J Adelsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023350931 PECOS PAC ID: 8325342181 Enrollment ID: I20161208001478 |
| Provider Name | Christine M Crawford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154734374 PECOS PAC ID: 2961620927 Enrollment ID: I20170111000389 |
| Provider Name | Alice B Uflacker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770861981 PECOS PAC ID: 6608145479 Enrollment ID: I20170711000850 |
| Provider Name | Katherine A Thayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720360134 PECOS PAC ID: 4183987969 Enrollment ID: I20180409000474 |
| Provider Name | Rachel N Song |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255878575 PECOS PAC ID: 4688959448 Enrollment ID: I20180921000991 |
| Provider Name | Emily Cosin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801145099 PECOS PAC ID: 0446598023 Enrollment ID: I20190206000159 |
| Provider Name | Natella Zaslavsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588180541 PECOS PAC ID: 2466791033 Enrollment ID: I20190226000500 |
| Provider Name | Reema D Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972820603 PECOS PAC ID: 3072894831 Enrollment ID: I20201207000385 |
| Provider Name | Lily Motta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225676265 PECOS PAC ID: 3779995303 Enrollment ID: I20201223001451 |
| Provider Name | Jenica Phelps |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245705151 PECOS PAC ID: 5698180115 Enrollment ID: I20210216001208 |
| Provider Name | Mohammed O Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396931721 PECOS PAC ID: 7719378108 Enrollment ID: I20211218000081 |
| Provider Name | Danielle Shaked |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225795784 PECOS PAC ID: 4082090576 Enrollment ID: I20221006002756 |
| Provider Name | Erica Fay Siwila-sackman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033613005 PECOS PAC ID: 9537419262 Enrollment ID: I20231206001629 |
| Provider Name | Amanda Blomberg-faura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659707305 PECOS PAC ID: 9638521842 Enrollment ID: I20240123002662 |
| Provider Name | Sharmane Simard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346313111 PECOS PAC ID: 5698128270 Enrollment ID: I20240131000388 |
| Provider Name | Maryann Sarro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285707968 PECOS PAC ID: 3971948035 Enrollment ID: I20240228001952 |
Center For Family Connection Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Cambridge St, Cambridge, MA 02141 Phone: 617-547-0909 Fax: 617-497-5952 | |
Nora Ilniczky, Ph.d., Psychotherapy And Wellbeing, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1158 Massachusetts Ave, Suite #307, Cambridge, MA 02138 Phone: 617-894-0055 | |
Harvard University Health Services Behavioral Health Dept Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Mount Auburn St, Harvard University Health Services, Cambridge, MA 02138 Phone: 617-495-2323 Fax: 617-495-2327 | |
Highland Psychological Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 875 Massachusetts Ave, Suite 71, Cambridge, MA 02139 Phone: 857-600-0875 | |
Dr Kerrie Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Hawthorne Park, Cambridge, MA 02138 Phone: 617-372-5653 | |
Nancy Villa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Concord Tpke, Cambridge, MA 02140 Phone: 978-729-0962 | |
Integrated Assessment Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1753 Massachusetts Ave, Cambridge, MA 02140 Phone: 617-661-1100 Fax: 617-661-1101 |