| North Shore Psychology & Behavioral Medicine Associates | |
|
6 Essex Center Dr Suite 107 Peabody MA 01960 | |
| (978) 532-7588 | |
| (978) 532-2494 |
| Full Name | North Shore Psychology & Behavioral Medicine Associates |
|---|---|
| Speciality | Psychologist |
| Location | 6 Essex Center Dr, Peabody, Massachusetts |
| Authorized Official Name and Position | Paul E Greenfield (OWNER) |
| Authorized Official Contact | 9785327588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Psychology & Behavioral Medicine Associates 6 Essex Center Dr Suite 107 Peabody MA 01960 Ph: (978) 532-7588 | North Shore Psychology & Behavioral Medicine Associates 6 Essex Center Dr Suite 107 Peabody MA 01960 Ph: (978) 532-7588 |
| NPI Number | 1093922742 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/13/2008 |
| Medicare PECOS PAC ID | 8022059583 |
|---|---|
| Medicare Enrollment ID | O20050516000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093922742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 103TH0100X | Psychologist - Health Service | 3545 (Massachusetts) | Primary |
| Provider Name | Mary Joan Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750550356 PECOS PAC ID: 7416962832 Enrollment ID: I20060207000252 |
| Provider Name | Paul E Greenfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144371501 PECOS PAC ID: 2668413121 Enrollment ID: I20120412000381 |
| Provider Name | Marguerite E Cycz |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1770992794 PECOS PAC ID: 9638432842 Enrollment ID: I20190620002238 |
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