| Newton-wellesley Psychiatry | |
|
40 Walnut St Ste 302 Wellesley MA 02481-2175 | |
| (617) 332-2047 | |
| (617) 332-7341 |
| Full Name | Newton-wellesley Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 40 Walnut St Ste 302, Wellesley, Massachusetts |
| Authorized Official Name and Position | Mary Jane Coppola (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6173322047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newton-wellesley Psychiatry 2364 Washington St Newton MA 02462-1440 Ph: (617) 332-2047 | Newton-wellesley Psychiatry 40 Walnut St Ste 302 Wellesley MA 02481-2175 Ph: (617) 332-2047 |
| NPI Number | 1427029297 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Medicare PECOS PAC ID | 1759282304 |
|---|---|
| Medicare Enrollment ID | O20040116000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427029297 | NPI | - | NPPES |
| 9756981 | Medicaid | MA | |
| M14702 | Other | MA | BLUE CROSS BLUE SHIELD |
| Provider Name | Blake D Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174502660 PECOS PAC ID: 5092616656 Enrollment ID: I20050420001139 |
| Provider Name | William B. Gault |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881673432 PECOS PAC ID: 6709787369 Enrollment ID: I20050520000793 |
| Provider Name | Leonard Freedberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760461255 PECOS PAC ID: 4082515648 Enrollment ID: I20050607000567 |
| Provider Name | Catherine Paluzzi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1609941202 PECOS PAC ID: 3476599952 Enrollment ID: I20050706000835 |
| Provider Name | Mary E Coakley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1326018482 PECOS PAC ID: 2163466822 Enrollment ID: I20050707000290 |
| Provider Name | Claire F Schneckenberger |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1356390157 PECOS PAC ID: 2567490378 Enrollment ID: I20050802001228 |
| Provider Name | Charles E Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841260460 PECOS PAC ID: 4587693171 Enrollment ID: I20050804000124 |
| Provider Name | Susan L Luckman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568432649 PECOS PAC ID: 5597798900 Enrollment ID: I20050915001112 |
| Provider Name | Dorene M Gabelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992775068 PECOS PAC ID: 4789617085 Enrollment ID: I20050916000463 |
| Provider Name | Debra L Spitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245313568 PECOS PAC ID: 9032136411 Enrollment ID: I20051025000604 |
| Provider Name | David T Golden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881676658 PECOS PAC ID: 7517974496 Enrollment ID: I20060317000320 |
| Provider Name | Lucy Tsirulnik Barts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053367623 PECOS PAC ID: 2860405263 Enrollment ID: I20060802000253 |
| Provider Name | Rebecca N Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235157322 PECOS PAC ID: 8224062419 Enrollment ID: I20060819000005 |
| Provider Name | John Kent Boynton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902901127 PECOS PAC ID: 1153328349 Enrollment ID: I20061101000092 |
| Provider Name | Sharon A Salter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629059605 PECOS PAC ID: 6800949967 Enrollment ID: I20090806000638 |
| Provider Name | Margarita Eydelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619142460 PECOS PAC ID: 2062692775 Enrollment ID: I20110214000309 |
| Provider Name | Nina V Isakovich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134394927 PECOS PAC ID: 2264601210 Enrollment ID: I20110808000465 |
| Provider Name | Amanda Reed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346362100 PECOS PAC ID: 8921278383 Enrollment ID: I20110823000656 |
| Provider Name | Kristin Bradach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841266947 PECOS PAC ID: 5193989440 Enrollment ID: I20120618000140 |
| Provider Name | Linda L Lesage |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1568433894 PECOS PAC ID: 6002070372 Enrollment ID: I20120618000365 |
| Provider Name | Judith Street |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083859474 PECOS PAC ID: 3274796826 Enrollment ID: I20141006000474 |
| Provider Name | Rachel M Reisman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205071941 PECOS PAC ID: 9931536109 Enrollment ID: I20200227002142 |
| Provider Name | Tyler Matthew Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750922449 PECOS PAC ID: 0345651931 Enrollment ID: I20201203001804 |
| Provider Name | David Paine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144698143 PECOS PAC ID: 3577962018 Enrollment ID: I20210603000465 |
| Provider Name | Simone Abella Obara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508360512 PECOS PAC ID: 1557748183 Enrollment ID: I20220519001595 |
| Provider Name | Nicole Sauve |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770981243 PECOS PAC ID: 6800263435 Enrollment ID: I20221110000855 |
| Provider Name | Jean Elizabeth Kracher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255897906 PECOS PAC ID: 0941651236 Enrollment ID: I20240111001056 |
Evolve Internal Wellness And Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Haven Road, Wellesley, MA 02481 Phone: 603-455-2428 Fax: 617-706-2603 | |
Richard H Stellar Edd Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 486 Washington St, Wellesley, MA 02482 Phone: 781-235-6969 Fax: 781-235-6969 | |
The Elliot Lewis Center For Multiple Sclerosis Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Cedar St Ste 110, Wellesley, MA 02481 Phone: 781-591-8300 | |
Kelly Mitchell, Psyd Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 592a Washington St Fl 2, Wellesley, MA 02482 Phone: 508-380-8757 | |
Mark Frankel Md Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 148 Linden St Ste 109, Wellesley, MA 02482 Phone: 917-575-1641 Fax: 781-489-5476 | |
Advanced Neurotherapy, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 140 Bristol Rd, Wellesley, MA 02481 Phone: 781-444-9115 | |
Heather F. Adams, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Hollis St, Suite 240, Wellesley, MA 02482 Phone: 781-910-7334 |