| New England Center For Mental Healthy Minds | |
|
289 Great Road Suite G1 Acton MA 01720 | |
| (978) 679-1200 | |
| (978) 486-4037 |
| Full Name | New England Center For Mental Healthy Minds |
|---|---|
| Speciality | Counselor |
| Location | 289 Great Road, Acton, Massachusetts |
| Authorized Official Name and Position | Madhavi Kamireddi (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 9786791200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New England Center For Mental Healthy Minds 289 Great Road Suite G1 Acton MA 01720 Ph: (978) 679-1200 | New England Center For Mental Healthy Minds 289 Great Road Suite G1 Acton MA 01720 Ph: (978) 679-1200 |
| NPI Number | 1346560083 |
|---|---|
| Provider Enumeration Date | 06/04/2010 |
| Last Update Date | 01/31/2019 |
| Medicare PECOS PAC ID | 7315126554 |
|---|---|
| Medicare Enrollment ID | O20110120000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346560083 | NPI | - | NPPES |
| 020860 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Carolyn Heimberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376581728 PECOS PAC ID: 2860469897 Enrollment ID: I20040910000491 |
| Provider Name | Irina V Angel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023058419 PECOS PAC ID: 6507829777 Enrollment ID: I20041109000266 |
| Provider Name | Madhavi Kamireddi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255313466 PECOS PAC ID: 5395783328 Enrollment ID: I20050420001043 |
| Provider Name | Mary E Cancellieri |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962621433 PECOS PAC ID: 7113956772 Enrollment ID: I20050804000696 |
| Provider Name | Janice M Wester |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962444992 PECOS PAC ID: 6901823871 Enrollment ID: I20051031000074 |
| Provider Name | Judith Casarella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528127750 PECOS PAC ID: 8820002454 Enrollment ID: I20060202000494 |
| Provider Name | David Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457589772 PECOS PAC ID: 5395885735 Enrollment ID: I20091216000375 |
| Provider Name | Patricia A Jackson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053300855 PECOS PAC ID: 2062691199 Enrollment ID: I20120619000034 |
| Provider Name | Michael S Pizza |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1093985970 PECOS PAC ID: 5991955601 Enrollment ID: I20121015000410 |
| Provider Name | Natalie Fekete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790935773 PECOS PAC ID: 1254582331 Enrollment ID: I20121120000077 |
| Provider Name | Rebecca L Peak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376771055 PECOS PAC ID: 3678897154 Enrollment ID: I20150112001576 |
| Provider Name | Jennifer L Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366827404 PECOS PAC ID: 7810296761 Enrollment ID: I20160428000640 |
| Provider Name | Maria Isabel Cordova - Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710295423 PECOS PAC ID: 3173740313 Enrollment ID: I20160729000594 |
| Provider Name | Nagaraj Uddhandi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942456108 PECOS PAC ID: 9133384829 Enrollment ID: I20160729000980 |
| Provider Name | Nicholas Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376944702 PECOS PAC ID: 6305133935 Enrollment ID: I20160927000061 |
| Provider Name | Shannon R Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396292892 PECOS PAC ID: 5890075311 Enrollment ID: I20161129001316 |
| Provider Name | Julie A Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962959411 PECOS PAC ID: 3779865639 Enrollment ID: I20170130000957 |
| Provider Name | Jessica Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235591363 PECOS PAC ID: 4880993104 Enrollment ID: I20171006001406 |
| Provider Name | Eniana J Tabor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902350408 PECOS PAC ID: 2567716244 Enrollment ID: I20181115001485 |
| Provider Name | Randi I Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245422542 PECOS PAC ID: 4284702523 Enrollment ID: I20181129002456 |
| Provider Name | Gary Piandes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558842617 PECOS PAC ID: 3375882103 Enrollment ID: I20190222000158 |
| Provider Name | Christopher Parmanand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629578885 PECOS PAC ID: 4486902913 Enrollment ID: I20200818002512 |
| Provider Name | Jason Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841663903 PECOS PAC ID: 6709299472 Enrollment ID: I20210120000275 |
| Provider Name | Alexa-rae Carpinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811514052 PECOS PAC ID: 2365842713 Enrollment ID: I20210607002746 |
| Provider Name | Kristie Matchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154095826 PECOS PAC ID: 7214328723 Enrollment ID: I20211216002459 |
| Provider Name | Carol Karuci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861087942 PECOS PAC ID: 9133515331 Enrollment ID: I20220414001240 |
| Provider Name | Michelle L Brumaghim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154098614 PECOS PAC ID: 4587052519 Enrollment ID: I20230926002257 |
| Provider Name | Janis Raguin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124504691 PECOS PAC ID: 7214388180 Enrollment ID: I20240105000277 |
| Provider Name | Janet Read |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265106983 PECOS PAC ID: 4284085770 Enrollment ID: I20240109003130 |
| Provider Name | Jillian Cooley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760954507 PECOS PAC ID: 3072965102 Enrollment ID: I20240115000053 |
| Provider Name | Johanna Shriver Halligan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154987303 PECOS PAC ID: 3678925856 Enrollment ID: I20240124000265 |
| Provider Name | Kerry Caviston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003425646 PECOS PAC ID: 3072966530 Enrollment ID: I20240131003207 |
| Provider Name | Western Ivey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679799381 PECOS PAC ID: 6901242833 Enrollment ID: I20240313002523 |
Streff Associates, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 532 Great Rd, Acton, MA 01720 Phone: 978-263-0439 Fax: 978-263-5706 | |
Derick E. Vergne, Md Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 179 Great Rd Ste 201, Acton, MA 01720 Phone: 857-239-1911 Fax: 617-544-0937 | |
Acton Psychological Associates Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 532 Great Rd, Acton, MA 01720 Phone: 508-785-5518 | |
Njlarocque Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 525 Massachusetts Ave Ste 101f, Acton, MA 01720 Phone: 617-331-1180 Fax: 888-430-8150 | |
Derick E. Vergne Md, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 179 Great Rd Ste 201, Acton, MA 01720 Phone: 857-239-1911 Fax: 617-544-0937 | |
Corporate Eap Resources, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 184 Great Rd, Suite 3, Acton, MA 01720 Phone: 866-635-1712 Fax: 978-635-1712 | |
Vanessa Demelo Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Beth Cir, Acton, MA 01720 Phone: 978-201-0069 |