The Plymouth Center For Behavioral Health | |
81 Samoset St Plymouth MA 02360-4500 | |
(085) 830-0012 | |
(508) 830-0092 |
Full Name | The Plymouth Center For Behavioral Health |
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Speciality | Psychiatry & Neurology |
Location | 81 Samoset St, Plymouth, Massachusetts |
Authorized Official Name and Position | Julie A Johnson (ADMINISTRATER) |
Authorized Official Contact | 5088300012 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Plymouth Center For Behavioral Health 81 Samoset St Plymouth MA 02360-4500 Ph: (508) 830-0012 | The Plymouth Center For Behavioral Health 81 Samoset St Plymouth MA 02360-4500 Ph: (085) 830-0012 |
NPI Number | 1154457422 |
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Provider Enumeration Date | 02/23/2007 |
Last Update Date | 09/06/2023 |
Certification Date | 08/18/2022 |
Medicare PECOS PAC ID | 9335242510 |
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Medicare Enrollment ID | O20070308000096 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154457422 | NPI | - | NPPES |
M21909 | Other | IDK | |
M21909 | Other | SOCIAL WORKERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Kristine M Duhamel |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1861534588 PECOS PAC ID: 3375576549 Enrollment ID: I20050917000075 |
Provider Name | Lori Hixon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538464896 PECOS PAC ID: 4082898804 Enrollment ID: I20110401000712 |
Provider Name | Susan M Ramondetta |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912201542 PECOS PAC ID: 3577749373 Enrollment ID: I20110512000012 |
Provider Name | Dwight G Smith |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831309020 PECOS PAC ID: 0446410773 Enrollment ID: I20120324000001 |
Provider Name | Erica B St Germain |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437418605 PECOS PAC ID: 6608027222 Enrollment ID: I20121108000060 |
Provider Name | Erin Rauscher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629271119 PECOS PAC ID: 5799729067 Enrollment ID: I20140430002451 |
Provider Name | Elizabeth M Zaccardi |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275717084 PECOS PAC ID: 5294955068 Enrollment ID: I20140929001678 |
Provider Name | Colin Mcwilliams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396464319 PECOS PAC ID: 5991174021 Enrollment ID: I20221213001944 |
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