| Preferred Behavioral Health Llc | |
|
125 Liberty St Ste 202 Springfield MA 01103-1109 | |
| (413) 729-4499 | |
| Not Available |
| Full Name | Preferred Behavioral Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 125 Liberty St Ste 202, Springfield, Massachusetts |
| Authorized Official Name and Position | Alex Eydinov (ADMIN) |
| Authorized Official Contact | 4137294499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Behavioral Health Llc 125 Liberty St Ste 202 Springfield MA 01103-1109 Ph: (413) 729-4499 | Preferred Behavioral Health Llc 125 Liberty St Ste 202 Springfield MA 01103-1109 Ph: (413) 729-4499 |
| NPI Number | 1194373894 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 02/25/2022 |
| Certification Date | 02/25/2022 |
| Medicare PECOS PAC ID | 3678969029 |
|---|---|
| Medicare Enrollment ID | O20220412000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194373894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Luz M Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396739231 PECOS PAC ID: 4385632793 Enrollment ID: I20040504001303 |
| Provider Name | Mikhail Mazo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740231216 PECOS PAC ID: 2860473592 Enrollment ID: I20040527000766 |
| Provider Name | Emad H Eskander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073594594 PECOS PAC ID: 5991775165 Enrollment ID: I20040727000933 |
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