| One World Mental Health Llc | |
|
61 Lincoln St Ste 309 Framingham MA 01702-8264 | |
| (774) 777-5114 | |
| (774) 777-5114 |
| Full Name | One World Mental Health Llc |
|---|---|
| Speciality | Psychologist |
| Location | 61 Lincoln St Ste 309, Framingham, Massachusetts |
| Authorized Official Name and Position | Mary Young Sa (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7747775114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One World Mental Health Llc 61 Lincoln St Ste 309 Framingham MA 01702-8264 Ph: (774) 777-5114 | One World Mental Health Llc 61 Lincoln St Ste 309 Framingham MA 01702-8264 Ph: (774) 777-5114 |
| NPI Number | 1841849619 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Medicare PECOS PAC ID | 2567833999 |
|---|---|
| Medicare Enrollment ID | O20230124000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841849619 | NPI | - | NPPES |
| 70010000W08176 | Other | MA | BCBS |
| 488453 | Other | MA | BEACON |
| 881171 | Other | MA | TUFTS |
| 110149205A | Medicaid | MA | |
| 9779291 | Other | MA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mary Young Sa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912095761 PECOS PAC ID: 6608815154 Enrollment ID: I20230124002980 |
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