| Neuropsychological Assessment Clinic, Inc | |
|
77 Warren St Building 1 Brighton MA 02135-3601 | |
| (617) 981-7916 | |
| (888) 857-0151 |
| Full Name | Neuropsychological Assessment Clinic, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 77 Warren St, Brighton, Massachusetts |
| Authorized Official Name and Position | Irene Piryatinsky (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 6173837804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychological Assessment Clinic, Inc 77 Warren St Bldg 2 Brighton MA 02135-3601 Ph: (617) 383-7804 | Neuropsychological Assessment Clinic, Inc 77 Warren St Building 1 Brighton MA 02135-3601 Ph: (617) 981-7916 |
| NPI Number | 1720421746 |
|---|---|
| Provider Enumeration Date | 04/09/2013 |
| Last Update Date | 10/07/2019 |
| Medicare PECOS PAC ID | 2466735147 |
|---|---|
| Medicare Enrollment ID | O20170202001692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720421746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 9256 (Massachusetts) | Primary |
| Provider Name | Nicole Baisden |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1831118074 PECOS PAC ID: 7517850555 Enrollment ID: I20040204000569 |
| Provider Name | Maxine H Krengel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538121686 PECOS PAC ID: 5991763906 Enrollment ID: I20041222000277 |
| Provider Name | Irene Piryatinsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578889291 PECOS PAC ID: 9436343589 Enrollment ID: I20110817000627 |
| Provider Name | Miryam Yusufov |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386121630 PECOS PAC ID: 2668729450 Enrollment ID: I20180725001707 |
| Provider Name | Michelle Parsons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275153769 PECOS PAC ID: 3375953854 Enrollment ID: I20201112001252 |
| Provider Name | Jaclyn Pellegrini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568828382 PECOS PAC ID: 7214323724 Enrollment ID: I20220411000833 |
| Provider Name | Taylor Allard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952882896 PECOS PAC ID: 7911383682 Enrollment ID: I20221004000064 |
| Provider Name | Connor Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457097164 PECOS PAC ID: 5092178368 Enrollment ID: I20230905001016 |
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