| Oasis Behavioral Health Llc | |
|
73 Princeton St Ste 307 North Chelmsford MA 01863 | |
| (617) 784-8388 | |
| Not Available |
| Full Name | Oasis Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 73 Princeton St Ste 307, North Chelmsford, Massachusetts |
| Authorized Official Name and Position | Debbie Peters (OFFICE MANAGER) |
| Authorized Official Contact | 9784553141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oasis Behavioral Health Llc 73 Princeton St Ste 307 North Chelmsford MA 01863-1581 Ph: (617) 784-8388 | Oasis Behavioral Health Llc 73 Princeton St Ste 307 North Chelmsford MA 01863 Ph: (617) 784-8388 |
| NPI Number | 1154808301 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 07/31/2018 |
| Medicare PECOS PAC ID | 4688925217 |
|---|---|
| Medicare Enrollment ID | O20180920003019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154808301 | NPI | - | NPPES |
| Provider Name | Grace S Trivers |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1306828512 PECOS PAC ID: 5294718706 Enrollment ID: I20040607001612 |
| Provider Name | Danielle Cogliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679656151 PECOS PAC ID: 3870593957 Enrollment ID: I20070115000194 |
| Provider Name | Olga Cobozeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164821864 PECOS PAC ID: 5193030732 Enrollment ID: I20150812006436 |
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