| North Shore Clinicians Group Llc | |
|
1r Newbury St Ste 205 Peabody MA 01960-3816 | |
| (978) 535-1606 | |
| (978) 535-2550 |
| Full Name | North Shore Clinicians Group Llc |
|---|---|
| Speciality | Counselor |
| Location | 1r Newbury St Ste 205, Peabody, Massachusetts |
| Authorized Official Name and Position | Kevin James Carty (OWNER) |
| Authorized Official Contact | 9785351608 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Clinicians Group Llc 1r Newbury St Ste 403 Peabody MA 01960-3816 Ph: (978) 535-1606 | North Shore Clinicians Group Llc 1r Newbury St Ste 205 Peabody MA 01960-3816 Ph: (978) 535-1606 |
| NPI Number | 1578847380 |
|---|---|
| Provider Enumeration Date | 09/29/2011 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/17/2024 |
| Medicare PECOS PAC ID | 9032559109 |
|---|---|
| Medicare Enrollment ID | O20240507000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578847380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 113550 (Massachusetts) | Primary |
| Provider Name | Kevin J Carty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982709358 PECOS PAC ID: 6204993520 Enrollment ID: I20090331000441 |
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