| New England Forensic Associates, Inc. | |
|
22 Mill St Suite 306 Arlington MA 02476-4784 | |
| (781) 643-0610 | |
| (781) 643-1609 |
| Full Name | New England Forensic Associates, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 22 Mill St, Arlington, Massachusetts |
| Authorized Official Name and Position | Carol J Ball (PRESIDENT) |
| Authorized Official Contact | 7816430610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New England Forensic Associates, Inc. 22 Mill St Suite 306 Arlington MA 02476-4784 Ph: (781) 643-0610 | New England Forensic Associates, Inc. 22 Mill St Suite 306 Arlington MA 02476-4784 Ph: (781) 643-0610 |
| NPI Number | 1891886800 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 07/07/2010 |
| Medicare PECOS PAC ID | 2567593023 |
|---|---|
| Medicare Enrollment ID | O20100627000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891886800 | NPI | - | NPPES |
| 607964 | Other | MA | TUFTS HEALTH CARE |
| 9729381 | Medicaid | MA | |
| W10214 | Other | MA | BLUECROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Leo Keating |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912138678 PECOS PAC ID: 7618023078 Enrollment ID: I20090926000052 |
| Provider Name | Carol J Ball |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518973536 PECOS PAC ID: 4486786845 Enrollment ID: I20100720000981 |
| Provider Name | Katharine Elliot Mayers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023323292 PECOS PAC ID: 3971828088 Enrollment ID: I20150212001917 |
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